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

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

Charles Della Santina (NPI 1497790059)

Charles Della Santina is a otolaryngology physician provider located in Baltimore, Maryland. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Charles Della Santina
Address	600 N Wolfe St
City	Baltimore
State	MD
ZIP	21287
Taxonomy	Otolaryngology Physician
NPI Enumerated	June 18, 2006

Payer Source	Total Paid
Medicare	$44.3K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69930	The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…	20	$1,060	$19K
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	$110	$4.8K
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…	40	$90	$3.9K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	60	$60	$3.5K
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…	50	$60	$3.3K
15769	The provider excises (harvests) fat, dermis, fascia, or other tissue and uses the soft tissue to fill in a defect elsewhere on the body of the same patient during the same operative session.	10	$210	$2.7K
92519	In this procedure, the provider measures the patient’s response to high–level acoustic stimuli (sound) using electrodes placed on the neck (cervical region) and near the eye (for ocular muscles). The…	50	$50	$2.6K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	60	$30	$1.4K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	40	$30	$1.2K
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…	20	$50	$940

Showing 1–10 of 11

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,218	10,270	150	$90	$24.1K
69930	3	10	20	$1,050	$23.2K
99213	6,145	9,280	100	$60	$12.5K
99204	2,380	5,380	40	$120	$7.3K
15769	2	10	10	$290	$6.2K
92540	12	50	30	$90	$6K
99203	2,839	3,630	40	$80	$5K
69210	152	350	30	$30	$3.7K
92519	2	10	30	$100	$3.5K
92504	32	60	60	$20	$2.4K

Charles Della Santina — 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