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.

Robert Ackerman (NPI 1598290868)

Robert Ackerman is a interventional pain medicine physician provider located in Tampa, Florida. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Robert Ackerman
Address	12902 Usf Magnolia Dr
City	Tampa
State	FL
ZIP	33612
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	April 25, 2017

Payer Source	Total Paid
Medicare	$23.9K
Medicaid	$0

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

12 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…	140	$80	$10.5K
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…	30	$100	$2.7K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	20	$100	$1.9K
01112	The provider performs anesthesia services for a patient undergoing the procedure of either bone marrow aspiration or biopsy or both. The procedure site is the anterior or posterior iliac crest.	30	$50	$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	$1.5K
64999	Use 64999 to report procedures in the nervous system that do not have a specific code.	20	$60	$1.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.3K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	110	$10	$1.1K
64420	The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or…	10	$50	$630
64421	The provider injects an anesthetic agent and/or steroid close to one of the ventral branches of the thoracic spinal nerves located under each rib, called the intercostal nerve. Report this code for…	20	$20	$460

Showing 1–10 of 12

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	16,040	32,760	140	$90	$25K
64493	669	730	50	$190	$17K
99204	11,649	19,040	40	$110	$7K
77002	485	580	40	$80	$7K
99222	8,042	8,970	30	$100	$6K
64420	14	10	20	$80	$3.4K
00731	1,332	2,890	20	$90	$2.8K
76942	774	960	30	$40	$2.4K
01112	38	70	40	$60	$2.3K
64421	8	10	30	$30	$1.5K

Robert Ackerman — Billing Profile & Reimbursement Data

Sign up for Robert Ackerman — Billing Profile & Reimbursement Data policy alerts

Robert Ackerman — Billing Profile & Reimbursement Data

Sign up for Robert Ackerman — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References