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

Why is the Medicaid comparison limited to New York 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 York (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.

Mark Albert (NPI 1598086910)

Field	Value
Entity Type	Individual
Organization	Mark Albert
Address	950 Park Ave
City	New York
State	NY
ZIP	10028
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	June 21, 2010

Payer Source	Total Paid
Medicare	$43.3K
Medicaid	$0

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
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	40	$350	$15K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	20	$670	$14.1K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$680	$12.2K
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…	30	$80	$2K

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. New York Distribution

Mark Albert — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
14040	35	70	20	$650	$27.4K
14060	78	120	20	$600	$21.6K
15004	11	30	40	$330	$15.8K
99213	25,728	31,440	80	$70	$12.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Medical Of Upper East Side, PLLC	NY	Urgent Care Clinic/Center	$0	$641.6M
Omar Ahmed	NY	Neurology Physician	$1M	$1.8M
Talha Shaikh	NY	Radiation Oncology Physician	$667.1K	$659.7K
Steven Gruenstein	NY	Hematology & Oncology Physician	$1.2M	$11.4K
Andrew Rosen	NY	Adult Reconstructive Orthopaedic Surgery Physician	$1M	$0
Brenda Panzera	NY	Hematology & Oncology Physician	$922.4K	$21.8K
Amory Novoselac	NY	Hematology & Oncology Physician	$835.7K	$63.6K
Waseem Mir	NY	Specialist	$845.2K	$610
Adam Deutsch	NY	Cardiovascular Disease Physician	$771.5K	$32K
Joseph Maklansky	NY	Diagnostic Radiology Physician	$774.9K	$0

Mark Albert — Billing Profile & Reimbursement Data

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Mark Albert — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References