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

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

Alan Micklin (NPI 1477582518)

Field	Value
Entity Type	Individual
Organization	Alan Micklin
Address	1 Centurian Dr
City	Newark
State	DE
ZIP	19713
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	July 1, 2006

Payer Source	Total Paid
Medicare	$989.1K
Medicaid	$0

Key Findings

ALAN MICKLIN is a long-tenured cardiovascular disease physician, with an NPI enumerated approximately 2006-07-01 (~20 years ago), indicating two decades of Medicare participation and likely established referral relationships and clinical workflows supporting diagnostic cardiology services. His lifetime Medicare revenue is $989.1K and there is no Medicaid billing on file, making his practice effectively single-payer (Medicare) in the available claims dataset.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 52.7% of this provider's total Medicare revenue, signaling dependence on a small set of specialized cardiology procedures for the majority of billed Medicare dollars. The top three revenue contributors by code are 93306, 78431, and 93880, each described below and together representing more than half of Medicare revenue.

The provider’s code mix indicates a procedure-heavy cardiology practice focused on noninvasive cardiac imaging and vascular diagnostics. High-revenue codes include 93306 (2D transthoracic echocardiography), 78431 (PET myocardial imaging with CT for stress/rest studies), and 93880 (arterial duplex scanning), which suggests the operation centers on advanced imaging and vascular ultrasound services rather than primarily low-complexity office visits. This combination points to a service line oriented around diagnostic imaging and stress testing for ischemic and structural heart disease.

Competitive standing by national rank shows concentrated dominance on several diagnostics: 93306 ranks #101 of 24624 providers nationally and is labeled an extreme outlier, and 93880 ranks #15 of 21316 providers nationally and is also an extreme outlier. Those ranks indicate this provider performs these ultrasound/echocardiography services at volumes far above typical national peers, positioning him as a major national-volume performer in those specific codes. In contrast, 78431 ranks #433 of 1377 (68th percentile) and is described as a typical volume, indicating more conventional activity for PET myocardial imaging relative to its peer group.

Utilization patterns show a mix of high-volume technical procedures and substantial evaluation-and-management work. High volumes of procedure codes (e.g., 93306: 1.4K claims; 93880: 1.1K claims) are complemented by significant office E/M activity (99214: 1.3K claims), where 99214 itself ranks in the 99th percentile nationally and is called an extreme outlier. This suggests the provider maintains both a heavy diagnostic throughput and ongoing ambulatory management of established cardiac patients.

The lack of any Medicaid billing on file means payer mix is effectively concentrated in Medicare, which limits insights into safety-net or low-income patient volumes and suggests contracting, operational focus, and revenue risk are tied to Medicare reimbursement dynamics. Analysts should treat this provider as single-payer active for the dataset and consider network or referral relationships that drive Medicare diagnostic volumes.

Several additional codes show above-typical national standing beyond the top two: 93978 ranks #134 of 4075 (97th percentile, notably above typical), and 93000 ranks #1025 of 71016 (99th percentile, extreme outlier). These rankings reinforce that multiple noninvasive cardiovascular testing services are offered at markedly higher-than-typical volumes, consistent with a high-throughput imaging practice.

The detailed code-level revenue distribution also highlights reliance on nuclear cardiology inputs and stress agents: A9555 (Rubidium rb-82) and J2785 (regadenoson) together represent material revenue slices (A9555: $52.4K; J2785: $28.2K), supporting the interpretation that pharmacologic stress PET/SPECT and nuclear imaging are core service lines requiring supply and radiopharmaceutical management.

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
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,400	$130	$183.3K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	80	$1,980	$164.2K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	1,100	$150	$160.6K
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…	1,290	$90	$119.7K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	180	$350	$61.9K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	90	$600	$52.4K
J2785	Injection, regadenoson, 0.1 mg	660	$40	$28.2K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	40	$690	$27.4K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	210	$130	$26.3K
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…	200	$120	$24K

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. Delaware Distribution

Alan Micklin — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

45 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	4	10	80	$1,810	$437.6K
A9555	4	10	240	$610	$195.5K
93306	1	70	450	$100	$51.8K
78452	22	60	120	$250	$40.3K
93229	12	30	40	$670	$34.2K
78434	4	10	90	$140	$33.5K
J2785	9	30	390	$40	$26.9K
99214	68	1,830	150	$80	$25.5K
93880	1	80	70	$110	$16.6K
99233	298	500	80	$90	$15.4K

Showing 1–10 of 45

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christiana Care Health Services, Inc.	DE	General Acute Care Hospital	$0	$99.4M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Christiana Care Health Services Inc	DE	Obstetrics & Gynecology Physician	$0	$9.9M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Christiana Care Health Services Inc	DE	Family Medicine Physician	$0	$5.6M
Christiana Care Health Services Inc	DE	Neurology Physician	$0	$5.1M
Christiana Care Health Services, Inc	DE	Family Medicine Physician	$0	$5.1M
Christiana Care Health Services Inc	DE	Student Health Clinic/Center	$0	$3.9M
Christiana Care Health Services, Inc	DE	Psychiatry Physician	$0	$2.9M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
Autism Delaware	DE	Intellectual & Developmental Disabilities Psychologist	$0	$5.8M

Alan Micklin — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References