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

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

Raphael Byrne (NPI 1457779233)

Field	Value
Entity Type	Individual
Organization	Raphael Byrne
Address	3181 Sw Sam Jackson Park Rd.
City	Portland
State	OR
ZIP	97239
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	March 31, 2014

Payer Source	Total Paid
Medicare	$17.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	70	$90	$6.2K
46500	The provider injects a sclerosing solution into the submucosa of the lower part of the anus under a hemorrhoid. This procedure helps in reducing blood flow to the area and causes the hemorrhoid to…	20	$230	$4.8K
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	$120	$2.9K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	30	$90	$2.3K
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…	30	$60	$1.5K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Raphael Byrne — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,371	6,070	80	$70	$10.3K
99232	1,390	1,730	60	$60	$5.9K
99204	1,596	2,750	30	$110	$4.4K
46500	1	10	10	$250	$3.8K
46600	10	30	20	$80	$2.3K
G0500	41	50	30	$1	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Fazio	IL	Diagnostic Radiology Physician	$294.3K	$184.3K
Jeffrey Lutton	NY	Orthopaedic Surgery Physician	$178.6K	$4.1K
Rona Gazaway	MN	Diagnostic Radiology Physician	$155.4K	$0
Joseph Williams	MN	Diagnostic Radiology Physician	$150.8K	$80
William Karczewski	MN	Diagnostic Radiology Physician	$148.3K	$0
Dana Lavanture	PA	Surgery of the Hand (Surgery) Physician	$135.4K	$0
Gregory Kenyherz	MN	Diagnostic Radiology Physician	$135.2K	$0
George Wu	MN	Diagnostic Radiology Physician	$132.7K	$0
Silviu Marica	PA	Surgery Physician	$123K	$260
Louis Dubois	NY	Pulmonary Disease Physician	$100.5K	$21.5K

Raphael Byrne — Billing Profile & Reimbursement Data

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Raphael Byrne — 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

Frequently Asked Questions

References