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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

M Seplow (NPI 1477686608)

Field	Value
Entity Type	Individual
Organization	M Seplow
Address	1423 Tilton Rd Ste 6
City	Northfield
State	NJ
ZIP	08225
Taxonomy	Psychiatry Physician
NPI Enumerated	March 14, 2007

Payer Source	Total Paid
Medicare	$383.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90868	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	2,080	$160	$330.7K
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…	200	$70	$12.8K
90867	In this procedure, the provider performs transcranial magnetic stimulation, or TMS, a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. Use…	70	$170	$11.2K
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…	120	$90	$9.8K
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…	50	$120	$6.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	130	$50	$6.5K
90869	The provider performs a subsequent redetermination of the minimum intensity of electrical pulses necessary to elicit the desired response in brain activity for a patient undergoing therapeutic…	20	$160	$2.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$130	$2.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	10	$140	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

M Seplow — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90868	2	10	520	$170	$148.1K
99214	7,350	13,640	130	$90	$23.6K
99213	4,254	14,090	100	$70	$13.1K
99215	3,177	3,750	40	$140	$12K
90792	346	400	40	$130	$11.4K
90833	168	330	130	$50	$11.1K
90867	2	10	30	$180	$6.8K
99204	2,326	7,160	40	$130	$6.5K
90869	3	10	20	$160	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Rueda	NY	Geriatric Psychiatry Physician	$183.1K	$0
Cyllene Briones	PA	Psychiatry Physician	$166.4K	$0
Leroy Arenivar	TX	Psychiatry Physician	$81.3K	$0
Michelle Reed	PA	Family Nurse Practitioner	$51.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliance Medical Group LLC	NJ	Specialist	$0	$9.4M
Naim Nazha	NJ	Medical Oncology Physician	$2.8M	$0
Thomas Margolis	NJ	Ophthalmology Physician	$2.5M	$0
Scott Foxman	NJ	Ophthalmology Physician	$2M	$0
Brett Foxman	NJ	Ophthalmology Physician	$1.6M	$0
Jaime Epstein	NJ	Mental Health Counselor	$140.9K	$1.4M
Daniel Connors	NJ	Ophthalmology Physician	$1.5M	$0
James Dalzell	NJ	Radiation Oncology Physician	$1.1M	$0
David Feng	NJ	Specialist	$798.8K	$0
Francis Previti	NJ	Surgery Physician	$434.6K	$0

M Seplow — Billing Profile & Reimbursement Data

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M Seplow — 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

Nearby Providers

Frequently Asked Questions

References