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.

Robert Weiss (NPI 1538241484)

Field	Value
Entity Type	Individual
Organization	Robert Weiss
Address	40 Cross St
City	Norwalk
State	CT
ZIP	06851
Taxonomy	Otolaryngology Physician
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicare	$668.7K
Medicaid	$0

Key Findings

ROBERT WEISS is an Otolaryngology Physician whose Medicare billing is heavily weighted toward endoscopic sinus procedures and related nasal surgeries; the code mix is led by balloon dilation and sinus endoscopy codes (e.g., 31298, 31295, 31231) that align with balloon sinuplasty and diagnostic nasal endoscopy services rather than broad-spectrum general ENT care. These procedure-focused codes and the presence of turbinate procedures (30140) suggest the practice operates as a procedure-oriented sinus/rhinology practice rather than a primarily cognitive or medically managed office.

Revenue concentration on Medicare is high: total Medicare revenue is reported as $668.7K and the precomputed top-three Medicare codes (31298, 31295, 31231) account for 76.2% of that Medicare revenue. This indicates that a small set of endoscopic sinus procedures drive the bulk of the provider’s Medicare receipts, creating a tight revenue dependency on sinus procedural volume.

This provider is effectively single‑payer in the available data: there is $668.7K in Medicare revenue on file and no Medicaid billing on file. The absence of Medicaid activity means payers and network planners should treat this profile as Medicare-dominant for utilization and capacity analyses rather than balanced dual‑payer practice.

On competitive standing for high-value sinus procedures, 31295 (maxillary sinus dilation) produced $161.9K and the provider ranks #21 of 283 nationally (93th percentile; notably above typical national volume), which the supplied descriptors flag as notably above typical volume and suggests a comparatively strong national position for that specific procedure. At the same time, 31298 (frontal and sphenoid sinus dilation) generated $307.6K and ranks #19 of 175 (90th percentile; typical, unremarkable volume), showing a high-dollar contribution while still being characterized as typical volume in the reference distribution.

Other codes show a mix of strong and modest national visibility: 30140 (submucous resection of the inferior turbinate) produced $14.1K and ranks #37 of 646 (94th percentile; notably above typical national volume), indicating above-typical turbinate surgery volume, whereas 69706 (eustachian tube dilation) produced $33.8K but ranks #27 of 39 (29th percentile; typical, unremarkable volume), reflecting limited national participation in that specific bilateral procedure. These contrasts suggest the practice concentrates on select sinus procedures while participating less in some other ENT procedural submarkets.

The practice shows meaningful new- and established-patient office visit activity alongside procedures: 99203 appears with 155 claims and $11.5K revenue (1.7% of Medicare revenue) and ranks #8142 of 161519 (95th percentile; notably above typical national volume), while 99213 appears with 248 claims and $16.9K revenue (2.5% of Medicare revenue) and ranks #76394 of 457151 (83th percentile; typical, unremarkable volume). The relatively high national rank for 99203 suggests above-typical new patient evaluation volume for a specialist, consistent with a referral-driven procedural practice.

A notable operational pattern is a high count of low-reimbursement procedures: 95004 (percutaneous allergy testing) shows 1.6K claims but only $4.9K in revenue (0.7% of Medicare revenue) and ranks #1390 of 3634 (62th percentile; typical, unremarkable volume). This combination of very high claim volume with low average payment per claim indicates substantial throughput for low-dollar services, which can reflect clinic workflow that bundles many simple tests alongside higher-revenue procedures.

The provider has long tenure in the Medicare program, with NPI enumeration on 2006-10-19 (~20 years ago), supporting that these coding and revenue patterns represent an established practice rather than a recent entrant. For payer or network decision-making, that tenure plus the concentrated sinus-procedure revenue profile points to a stable, procedure-centered otolaryngology practice with limited Medicaid exposure.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31298	The provider passes an endoscope into the nasal cavity of the patient through which he passes a balloon–tipped catheter and dilates the ostium (opening) of the frontal and sphenoid sinuses.	80	$4,100	$307.6K
31295	The provider passes an endoscope into the nasal cavity of the patient. He also dilates the ostium, or opening, of the maxillary sinus. The approach is either through the nose or via a depression on…	80	$1,950	$161.9K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	260	$150	$40K
69706	Surgical nasal endoscopy consists of the use of a medical device that has a thin rigid or a flexible tube to view the sinuses and nasal passages. In this procedure, the endoscopy provides an approach…	20	$2,250	$33.8K
30117	In this procedure, the provider excises or destroys a lesion in the nose through an internal approach, in which the provider places the surgical instruments into the nose to perform the procedure.	70	$420	$28.8K
31296	The provider passes an endoscope through the nasal cavity of the patient to bring about dilation of the ostium, or opening, of the frontal sinus.	10	$2,000	$22K
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…	250	$70	$16.9K
30140	This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).	70	$190	$14.1K
31237	In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement.	50	$270	$12.5K
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…	160	$70	$11.5K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Robert Weiss — 5 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
31298	1	10	60	$4,090	$241.6K
31295	1	10	40	$1,980	$88.9K
69706	1	10	20	$2,250	$33.8K
30117	2	10	70	$420	$30.6K
31296	1	10	10	$2,000	$22K
31231	3	80	60	$150	$13.9K
31237	2	10	30	$280	$9.4K
30140	1	10	30	$240	$8.8K
99213	830	6,440	70	$60	$8.1K
31575	36	110	50	$100	$6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
Juner Colina-biscotto	CT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Glenn Gandelman	CT	Cardiovascular Disease Physician	$1.7M	$593.4K
Robert L. Weiss, Md, PC	CT	Specialist	$0	$1.8M
Thomas Berenberg	CT	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Jaime Strachan	CT	Vascular Surgery Physician	$1.5M	$0
Stephanie Sugin	CT	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Robert Schoen	CT	Rheumatology Physician	$1.3M	$0
Jeffrey Green	CT	Cardiovascular Disease Physician	$1M	$0
Robert Wiznia	CT	Ophthalmology Physician	$228.5K	$644.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Center For Advanced Pediatrics, P.C	CT	Pediatrics Physician	$0	$7M
Mid-fairfield Child Guidance Center	CT	Community/Behavioral Health Agency	$0	$5.5M
Simon Bangiyev Dds, Md, PC Dba Premier Oral Surgery	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$5.3M
Keystone House Inc.	CT	Mental Illness Community Based Residential Treatment Facility	$0	$3.4M
Allergy Center Of Connecticut, PC	CT	Allergy & Immunology Physician	$0	$2.6M
Richard A. Fichman, Md PC	CT	Ophthalmology Physician	$0	$2.5M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$2.3M
East Avenue Pediatrics PC	CT	Pediatrics Physician	$0	$1.8M
Erol Verter	CT	Ophthalmology Physician	$1.7M	$0
Norwalk Family Dental, PC	CT	Dental Clinic/Center	$0	$1.3M

Robert 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

Related Providers

Nearby Providers

Frequently Asked Questions

References