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

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

Sean Gu (NPI 1497245930)

Field	Value
Entity Type	Individual
Organization	Sean Gu
Address	20 York Street
City	New Haven
State	CT
ZIP	06510
Taxonomy	Hematology (Pathology) Physician
NPI Enumerated	May 10, 2018

Payer Source	Total Paid
Medicare	$12K
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
88189	The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.	70	$70	$4.8K
88188	The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.	60	$50	$2.8K
G0452	Molecular pathology procedure; physician interpretation and report	60	$40	$2.3K
88187	The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.	30	$30	$780
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	20	$30	$620
85060	The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.	30	$20	$610

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. Connecticut Distribution

Sean Gu — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88189	14	20	80	$70	$18.3K
85390	9	10	40	$30	$5.8K
G0452	9	20	60	$40	$5.5K
88188	6	20	50	$50	$2.8K
85060	18	30	40	$20	$1.1K
88187	6	10	30	$30	$990

Sean Gu — Billing Profile & Reimbursement Data

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Sean Gu — 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