Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Practice Associates Medical Group (NPI 1427016385)

Practice Associates Medical Group is a internal medicine physician provider located in Morristown, New Jersey. This profile covers 0 Medicare and 242 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Practice Associates Medical Group
Address	100 Madison Avenue
City	Morristown
State	NJ
ZIP	07960
Taxonomy	Internal Medicine Physician
NPI Enumerated	May 2, 2006

Payer Source	Total Paid
Medicaid	$49.3M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

242 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	268,870	$60	$16.1M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	257,190	$50	$13.4M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	37,920	$90	$3.3M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	55,760	$30	$1.4M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	18,220	$80	$1.4M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	65,240	$20	$1.4M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	24,250	$50	$1.3M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	7,160	$140	$1M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	15,170	$50	$728.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	10,360	$50	$507.8K

Showing 1–10 of 242

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Practice Associates Medical Group — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

242 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	240	260	4,240	$220	$4.1M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	73	80	430	$290	$897.3K
93303	The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…	17	30	160	$330	$634.2K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	43	280	360	$560	$567.5K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	46	70	210	$1,050	$539.3K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	19	330	650	$200	$465.1K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	81	100	320	$190	$394K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	33	30	290	$590	$379.3K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	66	170	200	$470	$313.6K
64483	This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).	5	50	160	$510	$308.4K

Showing 1–10 of 242

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carol Kornmehl	NJ	Radiation Oncology Physician	$1.4M	$0
Sapan Talati	NJ	Interventional Cardiology Physician	$1M	$0
Alina Hirsh	NJ	Radiation Oncology Physician	$916.4K	$0
Janet Bartov	NJ	Rheumatology Physician	$787.4K	$0
David Taylor	NJ	Urology Physician	$775.3K	$0
David James	NJ	Interventional Cardiology Physician	$758.2K	$0
Marwan Hammoud	NJ	Family Medicine Physician	$753.7K	$0
Ramez Samuel	NJ	Internal Medicine Physician	$734.5K	$16.5K
Thomas Lee	NJ	Vascular Surgery Physician	$684.3K	$0
Michael Resnikoff	NJ	Vascular Surgery Physician	$587.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp.	NJ	General Acute Care Hospital	$0	$155.9M
Spring Hills At Morristown	NJ	Assisted Living Facility	$0	$11.7M
Bader Pedemonte	NJ	Hematology (Pathology) Physician	$4.2M	$1.5K
Vinod Voleti	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Constance Gore	NJ	Acute Care Nurse Practitioner	$1.1M	$0
Tatyana Marx	NJ	Neurology Physician	$1M	$0
Sean Lalin	NJ	Ophthalmology Physician	$617.8K	$0
Marta Lopatynsky	NJ	Ophthalmology Physician	$562.9K	$0
Kristyna Lee	NJ	Dermatology Physician	$561.5K	$0
Milan Sheth	NJ	Diagnostic Radiology Physician	$555.2K	$2.4K

Practice Associates Medical Group — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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