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

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

Leonidas Raisis (NPI 1629058540)

Field	Value
Entity Type	Individual
Organization	Leonidas Raisis
Address	4745 Ogletown Stanton Rd Ste 225
City	Newark
State	DE
ZIP	19713
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicare	$575.8K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the clear operating scale: lifetime Medicare revenue of $575.8K is on file while there is no Medicaid billing on file, indicating an effectively single‑payer (Medicare) practice for the claims in this dataset. Analysts should treat this profile as Medicare‑centric when evaluating payer mix and access to Medicaid populations.

Revenue is tightly concentrated in a small set of procedures: the precomputed top‑3 Medicare codes account for 52.1% of total Medicare revenue. Those top three codes are 27447 ($124.2K; 21.6% of Medicare revenue), 20610 ($92.6K; 16.1% of Medicare revenue), and J7329 ($83.7K; 14.5% of Medicare revenue), which together drive the majority of billed Medicare dollars.

The code mix points to a practice that pairs high‑volume office/interventional activity with elective joint replacement capability. Very large counts for injection and imaging codes — 20610 at 1.7K claims, J7329 at 12K claims, and 73562 at 1.3K claims — and heavy E/M volume (99213, 945 claims) suggest a clinic workflow built around repeated in‑office joint injections, viscosupplementation, and radiography; concurrently, surgical codes such as 27447 (122 claims) and 27130 (44 claims) show the provider also performs or bills for joint arthroplasty.

Several codes show the provider is a national high‑volume outlier in ambulatory and injection services. Specifically, 20610 ranks #43 of 39752 providers nationally (100th percentile, labeled an extreme outlier) and 73562 ranks #27 of 26819 providers (100th percentile, extreme outlier), while 99213 ranks #7387 of 457151 providers (98th percentile, extreme outlier). By contrast, arthroplasty code 27447 ranks #535 of 12089 (96th percentile, notably above typical national volume), indicating above‑typical but less extreme dominance in knee replacement relative to injection and imaging activity.

The provider’s use of hyaluronan products is concentrated in specific formulations rather than evenly distributed across brands. J7329 (trivisc) appears as a major revenue and volume driver with 12K claims and $83.7K revenue and ranks #55 of 962 providers nationally (94th percentile, notably above typical), whereas other hyaluronan codes like J7323 ($25.9K revenue; 262 claims, 92th percentile labeled typical/unremarkable), J7327 ($12.9K, 23 claims, 26th percentile), J7326 ($10.6K, 27 claims, 33th percentile) and J7328 ($4.5K, 4.5K claims, 3th percentile) show mixed national standing and suggest product‑level preference or coding concentration that could matter for supply contracts or formulary negotiations.

From a competitive and network strategy perspective, the practice looks like a high‑throughput, Medicare‑focused orthopedic clinic with both conservative/interventional management (injections, image‑guided diagnostics in volume) and maintained surgical capability. The presence of meaningful arthroplasty revenue (27447 $124.2K; 27130 $44.4K) indicates procedural scope beyond office injections, which supports contracting conversations around both ambulatory and surgical service lines.

The provider is an established clinician in the Medicare market, with NPI enumeration dated 2006-01-18 (~20 years ago). This tenure, combined with extreme outlier ranks on several ambulatory codes, is consistent with a long‑standing referral base and operational model that favors repeated outpatient procedures and imaging for knee pathology.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	120	$1,020	$124.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,680	$60	$92.6K
J7329	Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	11,950	$10	$83.7K
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…	950	$70	$61.4K
27130	In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…	40	$1,010	$44.4K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	1,270	$30	$39.4K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	260	$100	$25.9K
99203	The provider sees a new 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 provider…	250	$80	$18.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	410	$40	$16.7K
J7327	Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	20	$560	$12.9K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Leonidas Raisis — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	9	50	50	$810	$52K
J7327	13	20	30	$560	$38.9K
J7329	1	20	3,550	$10	$31.1K
64721	17	20	40	$470	$29.4K
27130	16	40	40	$700	$28.9K
99214	1,265	1,830	150	$80	$25.5K
J7323	2	10	90	$100	$16.5K
99213	76	1,810	120	$60	$13.6K
20610	1	120	60	$50	$12.4K
29880	4	10	10	$760	$12.2K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
First State Orthopaedics, PA	DE	Orthopaedic Surgery Physician	$0	$6M
First State Orthopaedics PA	DE	Orthopaedic Surgery Physician	$0	$1.5M
Callaway Franceschini LLC	DE	Physical Therapist	$0	$881.4K
Anush Parikh	DE	Diagnostic Radiology Physician	$651.5K	$0
Joseph Farrell	DE	Orthopaedic Surgery Physician	$576.7K	$0
Jeremie Axe	DE	Orthopaedic Surgery Physician	$542.8K	$0
Stephen Manifold	DE	Orthopaedic Surgery Physician	$488.7K	$0
Gita Pillai	DE	Orthopaedic Surgery Physician	$439.5K	$0
Dale Sutherland	DE	Anesthesiology Physician	$431.5K	$0
Steven Tooze	DE	Orthopaedic Surgery Physician	$418.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M

Leonidas Raisis — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References