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

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

Ernest Ginalis (NPI 1629151048)

Field	Value
Entity Type	Individual
Organization	Ernest Ginalis
Address	1300 Highway 35 Unit 204
City	Ocean
State	NJ
ZIP	07712
Taxonomy	Surgery Physician
NPI Enumerated	October 21, 2006

Payer Source	Total Paid
Medicare	$21.3K
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
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…	80	$90	$7K
49507	In this procedure, the provider surgically repairs an inguinal hernia that is incarcerated, meaning trapped, or strangulated, meaning the blood supply is cut off. Use this code for initial hernia…	10	$430	$6.1K
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…	40	$120	$5.1K
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…	20	$100	$1.8K
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…	20	$80	$1.2K

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. New Jersey Distribution

Ernest Ginalis — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,651	13,640	130	$90	$23.6K
49507	5	10	20	$690	$17.4K
99213	13,307	14,090	100	$70	$13.1K
99222	3,348	4,370	40	$110	$6.7K
99204	2,945	7,160	40	$130	$6.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Rwjbh Primary Care Services	NJ	Internal Medicine Physician	$0	$8.6M
David Dickerson	NJ	Orthopaedic Surgery Physician	$171.5K	$1.7M
Isaac Ezon	NJ	Retina Specialist (Ophthalmology) Physician	$966.8K	$0
Peter Farrugia	NJ	Cardiovascular Disease Physician	$848.3K	$0
Rajendrakumar Patel	NJ	Internal Medicine Physician	$717.2K	$0
Isaac Tawfik	NJ	Interventional Cardiology Physician	$714.3K	$0
Edward Choi	NJ	Cardiovascular Disease Physician	$704.7K	$0
Said Saleh	NJ	Hematology & Oncology Physician	$531.4K	$0
Kenneth Harris	NJ	Cardiovascular Disease Physician	$521.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ladacin Network	NJ	Developmentally Disabled Services Day Training Agency	$0	$95.3M
The Arc Of Monmouth	NJ	Developmentally Disabled Services Day Training Agency	$0	$84.6M
Assistive Choices Incorporated	NJ	Home Health Agency	$0	$22.9M
First Healthcare Asbury Park LLC	NJ	Adult Day Care Clinic/Center	$0	$19.3M
Gold Chris Associates, LLC	NJ	Clinic/Center	$0	$13.6M
Rj Healthcare Services LLC	NJ	Home Health Agency	$0	$12M
Elbaum, Krost & Elbaum, Dds, PA	NJ	Oral and Maxillofacial Surgery (Dentist)	$0	$10M
Central Jersey Urgent Care	NJ	Urgent Care Clinic/Center	$0	$8.4M
Jeffrey Elbaum	NJ	Oral and Maxillofacial Surgery (Dentist)	$8.1K	$3.7M
Ian Hersh	NJ	Foot & Ankle Surgery Podiatrist	$1M	$0

Ernest Ginalis — Billing Profile & Reimbursement Data

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Ernest Ginalis — 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