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

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

Darren Raphael (NPI 1578757068)

Field	Value
Entity Type	Individual
Organization	Darren Raphael
Address	101 The City Dr S
City	Orange
State	CA
ZIP	92868
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 28, 2007

Payer Source	Total Paid
Medicare	$15.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	160	$60	$8.5K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	30	$80	$2.2K
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	20	$90	$1.9K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	10	$120	$1.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$70	$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 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Darren Raphael — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	181	1,670	40	$100	$7.5K
00140	129	410	20	$120	$3.7K
00145	124	190	20	$150	$3.6K
00731	1,445	2,360	20	$110	$3.1K
00144	9	20	20	$130	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vivian Laquer	CA	Dermatology Physician	$94.8K	$1.7M
Lalita Pandit	CA	Hematology & Oncology Physician	$542.4K	$720.8K
Sherif Rezk	CA	Anatomic Pathology & Clinical Pathology Physician	$317.2K	$944.7K
Thu Tran	CA	Nurse Practitioner	$1.1M	$0
Misagh Karimi	CA	Hematology & Oncology Physician	$948.2K	$0
Maxwell Jen	CA	Emergency Medicine Physician	$869.2K	$36.2K
Alexander Sweidan	CA	Pulmonary Disease Physician	$485.7K	$112K
Rajesh Banker	CA	Clinical Cardiac Electrophysiology Physician	$476.4K	$0
Ronald Harris	TX	Dermatopathology Physician	$461.3K	$0
Faysal Yafi	CA	Urology Physician	$450.1K	$0

Darren Raphael — Billing Profile & Reimbursement Data

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Darren Raphael — 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