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

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

Ralph Gousse (NPI 1457316341)

Field	Value
Entity Type	Individual
Organization	Ralph Gousse
Address	750 Orienta Ave
City	Altamonte Springs
State	FL
ZIP	32701
Taxonomy	Medical Oncology Physician
NPI Enumerated	April 20, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

45 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	8,330	$40	$299.9K
J0897	Injection, denosumab, 1 mg	12,240	$20	$220.3K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	18,630	$10	$111.8K
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…	1,250	$60	$80K
J1449	Injection, eflapegrastim-xnst, 0.1 mg	3,040	$30	$78.9K
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…	700	$100	$67.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	360	$100	$34.8K
J1439	Injection, ferric carboxymaltose, 1 mg	30,750	$1	$30.8K
J1437	Injection, ferric derisomaltose, 10 mg	1,800	$20	$30.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	3,630	$10	$29K

Showing 1–10 of 45

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Ralph Gousse — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1569	17	130	4,080	$40	$176.2K
J0897	136	1,060	3,290	$20	$106.5K
J1449	30	40	3,560	$30	$99.2K
J1437	84	110	2,700	$20	$59.9K
J0885	18	240	6,630	$10	$45.6K
J1439	39	100	24,750	$1	$29.5K
96413	202	730	200	$100	$26.1K
99214	3,565	32,760	140	$90	$25K
99233	5,343	9,970	100	$90	$20.1K
Q0138	52	270	33,410	$1	$16.9K

Showing 1–10 of 45

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ameripath Florida LLC	FL	Clinical Medical Laboratory	$3.8M	$331.5K
Roy Ambinder	FL	Medical Oncology Physician	$1.9M	$0
Florida Eye Clinic Ambulatory Surgery Center, Inc.	FL	Ambulatory Surgical Clinic/Center	$1M	$0
Ross Wheeler	FL	Dermatology Physician	$760.3K	$0
Andrew Bagg	FL	Allergy & Immunology Physician	$499.1K	$0
Pragnesh Patel	FL	Allergy & Immunology Physician	$497.8K	$0
Nipun Arora	FL	Interventional Cardiology Physician	$334.1K	$0
Sambit Mondal	FL	Clinical Cardiac Electrophysiology Physician	$300.3K	$0
Christopher Cooper	FL	Infectious Disease Physician	$296.5K	$0
Ramona Kyrillos	FL	Infectious Disease Physician	$276.2K	$0

Ralph Gousse — Billing Profile & Reimbursement Data

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Ralph Gousse — 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