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 Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire 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 Hampshire (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.

John Mallen (NPI 1427037951)

Field	Value
Entity Type	Individual
Organization	John Mallen
Address	32 Stiles Rd
City	Salem
State	NH
ZIP	03079
Taxonomy	Plastic Surgery Physician
NPI Enumerated	January 12, 2006

Payer Source	Total Paid
Medicare	$35.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	340	$70	$22K
11104	The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.	40	$100	$4.3K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	50	$80	$4K
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…	50	$80	$3.7K
11105	The provider biopsies an additional or separate skin lesion after the first using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin…	30	$50	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

John Mallen — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11042	26	40	70	$60	$9.9K
99213	220	2,900	70	$50	$6.9K
99203	300	1,010	30	$70	$3.3K
11104	6	40	20	$80	$1.9K
11105	2	10	30	$40	$860

Nearby Providers

Other providers in the same ZIP code as John Mallen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neuro Rehab Associates, Inc	NH	Rehabilitation Hospital	$0	$55.5M
J & K Staffing Solutions, LLC	NH	Home Health Agency	$0	$19.3M
North Atlantic Surgical Suites, LLC	NH	Ambulatory Surgical Clinic/Center	$1.7M	$0
Salem School District	NH	Local Education Agency (LEA)	$0	$1.4M
Orchard Surgical Center, LLC	NH	Ambulatory Surgical Clinic/Center	$1.3M	$3.1K
Pediatric Dentistry Of Salem	NH	Pediatric Dentistry	$0	$1.2M
Town Of Salem	NH	Ambulance	$550.6K	$375.5K
Convenientmd LLC	NH	Clinical Medical Laboratory	$0	$876.5K
Mass General Brigham Medical Group, Inc.	NH	Internal Medicine Physician	$0	$754.6K
Deepak Sharma Md PC	NH	Pediatrics Physician	$0	$625.2K

John Mallen — Billing Profile & Reimbursement Data

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John Mallen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References