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

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

Michael Robertello (NPI 1447213384)

Field	Value
Entity Type	Individual
Organization	Michael Robertello
Address	12 Commons St
City	Rutland
State	VT
ZIP	05701
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicare	$219.3K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue on file is $219.3K and there is no Medicaid billing on file, so analysis of reimbursement mix and utilization should treat Medicare as the dominant (in fact sole reported) public payer for this NPI. The absence of Medicaid activity means comparisons to in‑state Medicaid peers are not possible from these records.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes account for 51.5% of this provider's total Medicare revenue. Those top three are 99213 ($43.8K, 20.2%), 99223 ($35.2K, 16.3%), and 93306 ($32.5K, 15.0%), indicating a heavy dependence on a few high‑share E/M and echocardiography services for overall Medicare receipts.

The code mix indicates a blended inpatient/outpatient cardiology practice: high shares from 99213 (office established visits) and 99223 (initial inpatient/observation care) together with substantial volume in transthoracic echocardiography 93306 suggest the provider splits time between clinic visits and hospital inpatient evaluations. Procedural and device codes (e.g., 93280, 93294, 93295, 33285) and stress/ECG testing (93010, 93016) further point to a service line that includes diagnostic imaging, device follow‑up, and supervised stress testing.

Several individual codes show unusually high national volumes relative to peers, implying competitive strength in specific service lines: 99213 ranks #6180 of 457151 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 93010 ranks #320 of 50616 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). 99223 (rank #4428 of 139583, 97th percentile; notably above typical national volume) and 93306 (rank #1637 of 24624, 93th percentile; notably above typical national volume) are also well above typical national volumes, indicating the provider competes at a high volume level for core cardiology E/M and diagnostic services even though total Medicare revenue is modest.

Operationally, the practice shows a throughput model for low‑unit, high‑count diagnostics: 93010 appears on 3.3K claims at $6 avg paid/claim for $19.8K in revenue (9.2% of Medicare revenue), suggesting routine ECGs generate large encounter counts that likely feed follow‑on E/M and imaging visits. That high claim count for a low‑paid code can inflate visit volumes and support device/echo follow‑up activity without necessarily producing large per‑case revenue.

The presence of multiple device management and remote monitoring codes (93280, 93294, 93295, 93284, 33285) indicates an active device clinic or follow‑up responsibility for implanted cardiac devices; these codes are present across the top 25 and include both face‑to‑face programming/adjustment and remote analysis services. National ranks for these device codes are generally in the mid to upper percentiles (for example, 93280 at the 85th percentile), which supports the conclusion that device work is a meaningful, though not dominant, component of the billed portfolio.

Although the provider reports several high‑percentile code volumes, total Medicare revenue of $219.3K is modest in absolute terms, implying concentrated activity in a narrow set of services rather than broad high‑revenue procedural throughput. Beyond the handful of extreme or notably above‑typical codes, many other CPTs listed (e.g., 99232, 99214, 78452) register as typical or unremarkable volumes relative to national peers, indicating that the practice’s exceptional standing is focused on specific services rather than across the full cardiology spectrum.

This NPI has long tenure in the market, enumerated on 2006-04-11 (~20 years ago), which is consistent with an established referral base and stable billing patterns shown here (repeat high volumes in core E/M, echo, ECG, and device follow‑up codes). Longevity combined with concentrated code outliers suggests durable specialization in the specific cardiology services reflected in the top billings.

Medicare: Complete Services Breakdown

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

33 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…	1,020	$40	$43.8K
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…	270	$130	$35.2K
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…	660	$50	$32.5K
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…	430	$60	$25.5K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,310	$10	$19.8K
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…	190	$70	$13K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	140	$60	$7.9K
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…	50	$140	$6.6K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	170	$30	$4.2K
92960	In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.	50	$80	$3.8K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Michael Robertello — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	5	20	480	$50	$22.6K
99214	255	960	90	$70	$10.6K
99284	136	140	100	$80	$8.5K
99215	404	410	40	$110	$7.2K
99232	17	320	60	$60	$7.1K
78452	3	20	80	$80	$6.8K
99213	7	910	80	$50	$6.7K
99223	2	230	30	$130	$5.9K
99205	23	140	30	$130	$4.5K
93280	4	10	150	$30	$4.5K

Showing 1–10 of 33

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Robertello, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$4.3M
Community Health Centers Of The Rutland Region, Inc.	VT	Family Medicine Physician	$0	$3.8M
Rutland Hospital, Inc	VT	Emergency Medicine Physician	$0	$1.8M
Rutland Hospital, Inc.	VT	Specialist	$0	$1M
Rutland Hospital, Inc.	VT	General Acute Care Hospital	$0	$948.8K
Jennifer Fauntleroy	VT	Psychiatry Physician	$65.4K	$712.9K
Rutland Hospital, Inc.	VT	Specialist	$0	$653.6K
Philip Ginsburg	VT	Gastroenterology Physician	$628K	$0
James Fitts	CA	Cardiovascular Disease Physician	$389.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Mental Health Services	VT	Developmental Disabilities Clinic/Center	$0	$122.1M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$20.6M
Rutland Mental Health Services, Inc.	VT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$17.7M
Community Health Centers Of The Rutland Region, Inc.	VT	Pediatrics Physician	$0	$13.6M
Regional Ambulance Service, Inc	VT	Land Ambulance	$1.4M	$5.3M
Vna & Hospice Of The Southwest Region, Inc	VT	Home Health Agency	$0	$4.8M
Bradford Psychiatric Associates. LLC	VT	Addiction Medicine (Internal Medicine) Physician	$0	$4.7M
Community Health Centers Of The Rutland Region, Inc.	VT	Dentist	$0	$4.4M
Community Health Centers Of The Rutland Region, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$4.3M
Community Health Centers Of The Rutland Region Inc	VT	Federally Qualified Health Center (FQHC)	$0	$3.2M

Michael Robertello — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References