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.

Lisa Rutstein (NPI 1497731269)

Field	Value
Entity Type	Individual
Organization	Lisa Rutstein
Address	12 High St Ste 205
City	Lewiston
State	ME
ZIP	04240
Taxonomy	Surgery Physician
NPI Enumerated	December 22, 2005

Payer Source	Total Paid
Medicare	$21.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$100	$5.3K
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…	50	$70	$3.9K
38525	The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…	20	$240	$3.6K
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…	70	$50	$3.5K
49320	In this procedure, the provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and camera, to look for causes of a patient's abdominal symptoms,…	10	$200	$2.4K
99443	N/A	20	$70	$1.4K
99442	N/A	30	$50	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Lisa Rutstein — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,503	2,500	70	$70	$7.2K
99213	897	2,350	50	$50	$4.3K
99204	153	810	30	$100	$3.6K
38525	4	10	20	$190	$3.1K
49320	1	10	10	$200	$2.4K
99443	29	80	20	$60	$1.4K
99442	44	100	20	$50	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgton Hospital	ME	Critical Access Hospital	$0	$2.5M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Daniel Rausch	ME	Hematology & Oncology Physician	$541K	$0
Danielle Stout	ME	Family Nurse Practitioner	$522.1K	$0
Julia Moukharskaya	ME	Hematology & Oncology Physician	$519.1K	$0
George Gentchos	NJ	Diagnostic Radiology Physician	$335.4K	$0
Brian Keroack	ME	Specialist	$326.6K	$0
Edward Fels	ME	Specialist	$266.6K	$0
Peter Dourdoufis	NH	Cardiovascular Disease Physician	$254.4K	$0
Jeffrey Colnes	ME	Cardiovascular Disease Physician	$226K	$0

Lisa Rutstein — Billing Profile & Reimbursement Data

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Lisa Rutstein — 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