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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Andrew Klein (NPI 1457765893)

Andrew Klein is a anesthesiology physician provider located in Charleston, South Carolina. This profile covers 15 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	Andrew Klein
Address	171 Ashley Ave
City	Charleston
State	SC
ZIP	29425
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 13, 2014

Payer Source	Total Paid
Medicare	$17.5K
Medicaid	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	10	$200	$2.8K
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.	10	$150	$1.9K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	10	$160	$1.8K
64450	The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.	50	$30	$1.7K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	70	$20	$1.6K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	40	$40	$1.4K
64415	The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…	20	$50	$1K
01996	The provider performs anesthesia services for a patient undergoing epidural or subarachnoid continuous drug administration. This procedure is for the daily management by the provider of the patient…	20	$50	$860
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	10	$60	$730
00811	The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…	20	$30	$690

Showing 1–10 of 15

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	349	380	20	$140	$3.3K
00811	390	740	20	$70	$3.2K
99231	698	850	40	$40	$3.1K
64450	18	90	30	$30	$2.9K
00812	320	410	20	$70	$2.6K
01214	90	170	20	$140	$2.6K
00320	39	60	20	$130	$2.5K
64415	79	150	20	$50	$1.3K
01480	111	160	20	$70	$1.3K
64447	45	180	20	$40	$1.2K

Andrew Klein — Billing Profile & Reimbursement Data

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Andrew Klein — 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