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

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

Nadia Fonarov (NPI 1629747571)

Field	Value
Entity Type	Individual
Organization	Nadia Fonarov
Address	1068 W Baltimore Pike
City	Media
State	PA
ZIP	19063
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	September 13, 2021

Payer Source	Total Paid
Medicare	$54.2K
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
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	230	$80	$18.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	160	$120	$18.8K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	210	$50	$11K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	110	$50	$5.5K

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. Pennsylvania Distribution

Nadia Fonarov — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1,057	6,630	70	$90	$12K
99223	484	7,020	40	$130	$7.8K
99497	42	920	40	$60	$4K
99498	3	90	20	$50	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elwyn Of Pennsylvania And Delaware	PA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.1M
Elwyn Of Pennsylvania And Delaware	PA	Mental Illness Community Based Residential Treatment Facility	$0	$16.3M
Pediatric Services Of America, LLC	PA	Home Health Agency	$0	$12.8M
Elwyn Of Pennsylvania And Delaware	PA	Community/Behavioral Health Agency	$0	$10.7M
Sunny Days Early Childhood Developmental Services Inc	PA	Behavior Analyst	$0	$10M
Mirmont Treatment Center	PA	Substance Abuse Rehabilitation Facility	$0	$8.3M
Mvp Recovery LLC	PA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$5.7M
Jason Lange	PA	Ophthalmology Physician	$1.6M	$0
Benjamin Jacobs	PA	Internal Medicine Physician	$1.3M	$0
Thais Moldovan	PA	Rheumatology Physician	$1.1M	$0

Nadia Fonarov — Billing Profile & Reimbursement Data

Sign up for Nadia Fonarov — Billing Profile & Reimbursement Data policy alerts

Nadia Fonarov — Billing Profile & Reimbursement Data

Sign up for Nadia Fonarov — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References