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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Isac Bloch (NPI 1619188802)

Field	Value
Entity Type	Individual
Organization	Isac Bloch
Address	Mitzpe Netofa
City	Galil Tachton
State	XX (Unspecified Location)
ZIP	15295
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 27, 2007

Payer Source	Total Paid
Medicare	$5K
Medicaid	$0

Key Findings

This provider's Medicare footprint is very small in absolute terms: lifetime Medicare revenue is $5K and there is no Medicaid billing on file (none). That makes the provider effectively a single-payer Medicare reporter in the datasets available, with limited overall billed volume to evaluate across payers.

Revenue is highly concentrated in three codes: the precomputed top 3 Medicare codes account for 100.0% of this provider's Medicare revenue. The three revenue contributors are 99204 ($2.4K, 47.8% of Medicare revenue), 99214 ($1.8K, 34.8%), and 31575 ($874, 17.4%), which together represent the entire reported Medicare revenue stream.

The code mix indicates an office-based otolaryngology practice focused on evaluation-and-management visits and diagnostic laryngoscopy: 99204 and 99214 are new and established patient E/M visits (moderate complexity), while 31575 is a diagnostic flexible laryngoscopy. This pattern suggests the provider’s services are clinical assessments and in-office diagnostic procedures rather than hospital-based surgery or high-revenue surgical interventions.

Volume and payment detail show small counts and modest per-claim payments: 99204 has 25 claims at $96 avg paid/claim, 99214 has 25 claims at $70 avg paid/claim, and 31575 has 19 claims at $46 avg paid/claim. Those claim counts combined with low average payments explain why total Medicare revenue remains at $5K despite multiple billed services.

Competitive standing for the top codes is modest to low nationally. For 99204 the provider ranks #136590 of 227068 (38th percentile) which is below median and described as typical/unremarkable volume; 99214 ranks #412851 of 479517 (13th percentile) and 31575 ranks #6658 of 7800 (13th percentile), both of which place the provider in low-volume bands for those services.

Tenure in the NPI registry is long: the NPI was enumerated on 2007-05-27 (~19 years ago). The multi-year enumeration combined with low reported billing suggests either a small clinical panel, limited Medicare participation, or infrequent billing activity rather than a recently established practice.

Because Medicaid billing is absent (none), the provider’s payer mix is effectively unbalanced toward Medicare in the available data. That absence of Medicaid activity may reflect non-participation in state Medicaid programs, a patient panel skewed away from Medicaid beneficiaries, or billing routed under a different tax ID or group practice not captured here.

Operationally, this profile points to a low-volume, outpatient ENT practice where in-office E/M visits (99204 and 99214) generate nearly all revenue by count and dollars and diagnostic laryngoscopy (31575) is a secondary revenue stream. Given the modest ranks and small total revenue, the provider is not a dominant market player for these services at the national level and would be characterized as a minor participant in Medicare billing for ENT-coded care.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	$2.4K
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…	30	$70	$1.8K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	20	$50	$870

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Isac Bloch — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14	10	80	$90	$15.8K
99204	7	10	20	$120	$2.8K
31575	2	0	N/A	$N/A	$N/A

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gary Freedman, M.d.	—	Psychiatry Physician	$13K	$0

Isac Bloch — Billing Profile & Reimbursement Data

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Isac Bloch — 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

Nearby Providers

Frequently Asked Questions

References