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

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

August Kerschner (NPI 1588221451)

Field	Value
Entity Type	Individual
Organization	August Kerschner
Address	275 Sandwich St
City	Plymouth
State	MA
ZIP	02360
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 24, 2019

Payer Source	Total Paid
Medicare	$149.8K
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
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	580	$140	$81.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	300	$180	$53.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	90	$90	$7.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$150	$4.3K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	420	$10	$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 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

August Kerschner — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	38	1,630	110	$140	$23.3K
99291	34	2,150	50	$170	$12.8K
99223	2,354	4,430	30	$140	$7.6K
99284	571	1,670	60	$90	$6.8K
93042	2	110	60	$10	$440

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beth Israel Deaconess Medical Center, Inc.	MA	General Acute Care Hospital	$0	$270.4M
Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is	MA	Emergency Medical Services (Emergency Medicine) Physician	$0	$34.9M
Bluewater Emergency Partners Of Brunswick, LLC	ME	Emergency Medicine Physician	$0	$3.8M
Robert Najarian	MA	Anatomic Pathology Physician	$520.7K	$878.6K
Sheldon Buzney	MA	Ophthalmology Physician	$1.4M	$0
Irene Piryatinsky	MA	Psychologist	$169.6K	$1M
Alireza Sepehr	MA	Anatomic Pathology & Clinical Pathology Physician	$1.2M	$1000
Megan Nichols	KS	Ophthalmology Physician	$1M	$0
James Giddings	RI	Emergency Medicine Physician	$78.4K	$889.8K
Stephen Lyle	MA	Anatomic Pathology Physician	$852.2K	$40.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$316.5M
Centrus Premier Home Care Inc	MA	Home Health Agency	$0	$201.1M
Pediatric Services Of America, LLC	MA	Home Health Agency	$0	$21.9M
The Arc Of Greater Plymouth	MA	Foster Care Agency	$0	$12M
Beth Israel Deaconess Hospital Plymouth, Inc.	MA	Community Based Hospice Care Agency	$0	$11.5M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Harbor Health Services, Inc.	MA	Community Health Clinic/Center	$0	$7.7M
Habilitation Assistance Corporation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$6.6M
Plymouth Laser Center, P.C.	MA	Ambulatory Surgical Clinic/Center	$2.2M	$157.2K

August Kerschner — Billing Profile & Reimbursement Data

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August Kerschner — 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

Nearby Providers

Frequently Asked Questions

References