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

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

David Kleiman (NPI 1437391125)

David Kleiman is a colon & rectal surgery physician provider located in Burlington, Massachusetts. This profile covers 13 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	David Kleiman
Address	41 Mall Road Lahey Hospital & Medical Ctr
City	Burlington
State	MA
ZIP	01805
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	March 27, 2009

Payer Source	Total Paid
Medicare	$62.1K
Medicaid	$0

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
44145	The provider surgically removes a portion of the colon and then connects an end of the remaining colon to the rectum to restore continuity.	10	$1,420	$15.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	30	$230	$7.5K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	40	$200	$7.3K
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…	80	$80	$6.1K
99205	The provider sees a new 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 provider…	40	$160	$5.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	40	$110	$4.9K
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…	40	$130	$4.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$40	$2.7K
45330	The provider examines the rectum and sigmoid colon with a flexible sigmoidoscope, a tubular instrument with a light source and camera, to determine the cause for a patient's symptoms, such as…	60	$50	$2.7K
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…	20	$110	$2.3K

Showing 1–10 of 13

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	332	460	60	$260	$23.8K
44145	1	10	10	$1,420	$15.7K
99214	9,184	15,410	110	$80	$15.6K
G0105	103	280	30	$260	$12.1K
45380	287	460	50	$160	$11.9K
99215	5,921	6,360	40	$120	$8.9K
99213	10,745	13,700	70	$60	$8.8K
99204	3,973	5,870	30	$120	$5.6K
99205	803	2,430	30	$160	$5.5K
99222	1,009	3,420	30	$100	$4.5K

David Kleiman — Billing Profile & Reimbursement Data

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David Kleiman — 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