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

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

Delia Weiss (NPI 1508926965)

Field	Value
Entity Type	Individual
Organization	Delia Weiss
Address	550 Se 6th Ave.
City	Delray Beach
State	FL
ZIP	33483
Taxonomy	Internal Medicine Physician
NPI Enumerated	December 8, 2006

Payer Source	Total Paid
Medicare	$22.5K
Medicaid	$0

Key Findings

This profile is effectively single‑payer from the claims on file: total Medicare revenue is $22.5K while Medicaid shows none (no Medicaid billing on file). That absence of Medicaid activity means any conclusions about care delivered to Medicaid populations cannot be drawn from these data and payer mix is heavily skewed toward Medicare.

Revenue is highly concentrated in a very small set of office E/M codes: the precomputed top three Medicare codes account for 90.6% of this provider's total Medicare revenue. Those top contributors are 99214 ($13.6K, 60.3%), 99213 ($4K, 17.6%), and 99204 ($2.9K, 12.7%), indicating most dollars flow from routine evaluation-and-management visits.

The code mix and descriptions indicate an outpatient internal medicine practice focused on established-patient visits at moderate complexity. 99214 is the single largest driver and is described as an established patient visit involving moderate medical decision making and/or 30+ minutes of total time; 99213 represents lower-complexity established visits, and 99204 reflects new patient visits at a moderate complexity/45+ minute time frame. This pattern is consistent with a clinic-oriented primary care workflow rather than procedure-focused specialty work.

Claim counts and average payments reinforce a modest clinical throughput: 99214 shows 154 claims at $88 avg paid/claim, 99213 has 59 claims at $67 avg paid/claim, and 99204 has 21 claims at $136 avg paid/claim. Those volumes and per-claim payments produce the dollar distribution above and suggest a practice seeing more established patients than new ones.

Competitive standing for the top codes is generally unremarkable at the national level. 99214 ranks #187619 of 479517 providers (61th percentile; typical, unremarkable volume for this code), 99213 ranks #261092 of 457151 (42th percentile; typical, unremarkable volume for this code), and 99204 ranks #153366 of 227068 (30th percentile; typical, unremarkable volume for this code), which together indicate modest market participation rather than a dominant presence.

High-complexity visits are a smaller share of the mix: 99215 accounts for 9.4% of Medicare revenue ($2.1K) with 18 claims and $118 avg paid/claim, and it ranks #114686 of 145531 providers (19th percentile; typical, unremarkable volume for this code). The relatively low rank and share for 99215 suggest the practice sees fewer high-MDM/longer visits compared with peers, reinforcing a mid-level complexity orientation.

The provider has long tenure in the NPI file (NPI enumerated 2006-12-08 (~20 years ago)), which indicates a sustained presence in the market. Combined with modest lifetime Medicare revenue of $22.5K and no Medicaid billing on file, this pattern could reflect part‑time Medicare billing, a small Medicare panel, or billing activity concentrated with other payers not represented here; analysts should not infer broader market share without supplemental commercial payer data.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$90	$13.6K
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…	60	$70	$4K
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…	20	$140	$2.9K
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	$120	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Delia Weiss — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5	32,760	140	$90	$25K
99213	8	30,010	80	$60	$12K
99215	4	8,550	40	$130	$10.7K
99204	5	19,040	40	$110	$7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Delray Beach Surgical Suites, LLC	FL	Ambulatory Surgical Clinic/Center	$3M	$0
Robert Dudley	FL	Family Medicine Physician	$1.2M	$0
Mario Masserano	FL	Internal Medicine Physician	$693.7K	$0
Francesca Lewis	FL	Dermatology Physician	$340.6K	$0
Domenic Pompile	FL	Physical Therapist	$280.2K	$0
Stefan Franciosa	FL	Vascular & Interventional Radiology Physician	$266K	$0
Brent Schillinger	FL	Dermatology Physician	$248.2K	$1.8K
Raul Rodriguez	FL	Addiction Psychiatry Physician	$190.3K	$0
Kevin Lapinski	FL	Clinical Neuropsychologist	$128.3K	$0
Melissa Barrera	FL	Psychiatric/Mental Health Nurse Practitioner	$107K	$0

Delia Weiss — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References