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.

Daniel Tobias (NPI 1508830746)

Daniel Tobias is a gynecologic oncology physician provider located in Morristown, New Jersey. This profile covers 10 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	Daniel Tobias
Address	100 Madison Ave
City	Morristown
State	NJ
ZIP	07960
Taxonomy	Gynecologic Oncology Physician
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$103.6K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	370	$70	$25.5K
58661	The provider removes one or both ovaries and one or both fallopian tubes or a combination of both using a laparoscope.	30	$770	$19.2K
58571	The provider incises all of the uterine, ovarian, and cervical connections through a laparoscope, and removes the uterus, cervix, and fallopian tubes, with or without the ovaries via the trocar ports…	20	$760	$18.2K
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…	120	$140	$16.5K
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…	160	$100	$14.9K
38570	The provider makes small incisions and inserts a laparoscope, or camera, and then inserts tools to sample one or more lymph nodes in the retroperitoneum to stage cancer in the retroperitoneum and…	10	$220	$3.1K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	20	$160	$2.8K
99205	The provider sees a new 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 provider…	10	$190	$2.2K
58100	The provider takes a tissue sample from the lining of the uterus to perform an endometrial biopsy without widening the cervix. The provider may also perform endocervical biopsy.	10	$80	$1.1K
38792	The provider injects a contrast, or radioactive tracer into the target tissues and massages the tissue to move the dye into the lymphatic system. He performs this procedure to identify the sentinel…	10	$10	$200

Daniel Tobias — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,211	13,640	130	$90	$23.6K
58661	1	10	30	$770	$19.2K
58558	6	20	20	$870	$18.3K
99213	2,072	14,090	100	$70	$13.1K
58571	3	20	20	$650	$11.1K
99204	557	7,160	40	$130	$6.5K
99205	1,766	1,970	30	$170	$6.5K
38570	3	10	10	$180	$2.9K
58100	7	10	10	$80	$1.3K
38792	12	20	20	$20	$380