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

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

Diane Clausen (NPI 1447256995)

Field	Value
Entity Type	Individual
Organization	Diane Clausen
Address	235 N Belle Mead Rd
City	E Setauket
State	NY
ZIP	11733
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	June 21, 2005

Payer Source	Total Paid
Medicare	$42.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$160	$21.1K
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…	140	$110	$15K
G0316	Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date…	190	$30	$5.3K
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…	10	$70	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Diane Clausen — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2,999	8,640	80	$100	$15.8K
99232	11,793	11,850	80	$70	$13.8K
99223	928	8,650	40	$150	$9.3K
G0316	8	150	50	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aman Deep	NY	Internal Medicine Physician	$91.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Berkowitz	NY	Vascular & Interventional Radiology Physician	$2.6M	$1.2M
Steven Montana	NY	Hematology & Oncology Physician	$2.2M	$28.3K
Fadi El-baba	NY	Retina Specialist (Ophthalmology) Physician	$2M	$18K
Joseph Cirrone	NY	Radiation Oncology Physician	$1.7M	$0
Mark Borek	NY	Cardiovascular Disease Physician	$1.5M	$0
Martin Silverstein	NY	Radiation Oncology Physician	$1.2M	$17.5K
Gurmohan Syali	NY	Medical Oncology Physician	$1.1M	$69.2K
Emanuel Chryssos	NY	Cardiovascular Disease Physician	$1M	$30
Rocco Caruso	NY	Hematology & Oncology Physician	$1M	$4.6K
Khurram Chaudhary	NY	Retina Specialist (Ophthalmology) Physician	$910.4K	$66.8K

Diane Clausen — Billing Profile & Reimbursement Data

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Diane Clausen — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References