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

Why is the Medicaid comparison limited to Illinois 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. Illinois (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.

Rebecca Blumenthal (NPI 1437193588)

Rebecca Blumenthal is a anesthesiology physician provider located in Evanston, Illinois. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Rebecca Blumenthal
Address	2650 Ridge Ave
City	Evanston
State	IL
ZIP	60201
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicare	$19.8K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00320	The provider performs anesthesia services for a patient undergoing any procedure on the esophagus, thyroid, larynx, trachea and lymphatic system of the neck when the patient is one year or older.	20	$180	$3.7K
00840	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the lower abdomen, including laparoscopy, which are not specified by any other anesthesia code.	30	$130	$3.4K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	40	$70	$3K
00914	The provider performs anesthesia services for a patient undergoing removal of the prostate gland through the urethra, which is the opening for the outflow of urine.	30	$90	$2.6K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	20	$130	$2K
00410	The provider performs anesthesia services for a patient undergoing a procedure on the skin of the upper and lower limbs, the front aspect of the chest and abdomen, or the perineum. For this code, the…	30	$40	$1.4K
00400	The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.	20	$60	$1.1K
00912	The provider performs anesthesia services for a patient undergoing excision of one or more tumors within the bladder performed through the urethra, which is the opening for the outflow of urine.	10	$80	$890
64488	In this procedure, the provider performs a bilateral transversus abdominis plane block, or TAP block, by injections. A TAP block diminishes the pain that occurs for reasons such as lower abdominal…	20	$60	$860
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	20	$50	$830

Rebecca Blumenthal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00790	100	290	10	$190	$2.8K
00840	6	180	10	$150	$2.3K
00320	1	30	10	$150	$2.2K
01922	5	280	20	$120	$2K
00914	3	40	10	$110	$1.8K
00912	14	20	10	$100	$1.3K
00400	22	120	10	$80	$1.3K
00910	108	320	10	$70	$1.2K
00410	2	70	10	$60	$920
64488	11	20	20	$60	$900