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

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

Ankle And Foot Associates PC (NPI 1467527689)

Field	Value
Entity Type	Organization
Organization	Ankle And Foot Associates PC
Address	28 Yarmouth Crossing Dr
City	Yarmouth
State	ME
ZIP	04096
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	November 22, 2006

Payer Source	Total Paid
Medicaid	$953.5K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

27 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…	8,140	$30	$211.6K
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…	5,890	$40	$206.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	15,290	$10	$183.5K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	9,140	$20	$173.7K
99203	The provider sees a new 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 provider…	1,380	$40	$53.7K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	2,410	$10	$28.9K
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…	380	$70	$27.7K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	90	$220	$20.1K
11730	The provider removes part or all of a single nail plate using simple avulsion techniques.	690	$30	$18K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	510	$20	$10.6K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maine providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maine Distribution

Ankle And Foot Associates PC — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	96	460	1,240	$30	$190K
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…	92	480	1,030	$20	$128.9K
L3010	Foot, insert, removable, molded to patient model, longitudinal arch support, each	9	10	200	$200	$51.5K
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…	52	150	150	$60	$37.6K
99203	The provider sees a new 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 provider…	31	170	220	$30	$24.4K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	6	20	270	$40	$22.4K
11056	The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.	1	20	420	$20	$21.9K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	1	70	890	$10	$21.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	48	50	170	$20	$20.3K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	14	60	820	$10	$13.1K

Showing 1–10 of 27

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ankle And Foot Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Muca	ME	Podiatrist	$255.2K	$48.7K
Christopher Pingitore	ME	Foot & Ankle Surgery Podiatrist	$130.1K	$0
Melissa Milza	ME	Foot Surgery Podiatrist	$115.1K	$0
Ryan Hiebert	ME	Foot & Ankle Surgery Podiatrist	$103.2K	$0

Nearby Providers

Other providers in the same ZIP code as Ankle And Foot Associates PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brighter Heights Maine, LLC	ME	Community/Behavioral Health Agency	$0	$27.8M
Brighter Heights Maine, LLC	ME	Home Health Agency	$0	$4M
Dirigo Pediatric Dentistry	ME	Pediatric Dentistry	$0	$3.7M
Town Of Yarmouth	ME	Land Ambulance	$99.2K	$70.6K
Molly O'malley	ME	Family Medicine Physician	$58.4K	$0
Daniel Pierce	ME	Family Medicine Physician	$54.9K	$0
Nathaniel Anderson	ME	Gerontology Nurse Practitioner	$51.8K	$0
Anthony Bustamante	ME	Family Medicine Physician	$51.6K	$0
Barry White	ME	Foot & Ankle Surgery Podiatrist	$39.5K	$0
Peter Sedgwick	ME	Sports Medicine (Family Medicine) Physician	$35.1K	$0

Ankle And Foot Associates PC — Billing Profile & Reimbursement Data

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Ankle And Foot Associates PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References