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

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

Michael Kalafian (NPI 1639178312)

Field	Value
Entity Type	Individual
Organization	Michael Kalafian
Address	1901 Thomson Dr
City	Lynchburg
State	VA
ZIP	24501
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 15, 2005

Payer Source	Total Paid
Medicare	$98.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	970	$70	$66.1K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	230	$60	$13.9K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	110	$110	$12.3K
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…	60	$50	$2.9K
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	$90	$2.9K
G0250	Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets…	40	$10	$260
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	20	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Michael Kalafian — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	488	12,890	140	$80	$21K
99232	1,036	4,460	80	$60	$11K
99213	7,506	12,440	90	$60	$10K
99215	748	4,030	40	$120	$9.5K
99204	3,528	6,850	40	$110	$5.9K
99211	313	480	30	$20	$1.1K
G0250	5	10	80	$10	$640

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centra Health Inc	VA	General Acute Care Hospital	$0	$78.6M
Centra Health Inc	VA	General Acute Care Hospital	$0	$18.5M
Jong An	VA	Hematology & Oncology Physician	$2.4M	$0
Salman Mufti	VA	Diagnostic Radiology Physician	$1.2M	$0
Reema Munir	CA	Diagnostic Radiology Physician	$949.4K	$0
Andrew Moran	NC	Diagnostic Radiology Physician	$751.8K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
William Jones	VA	Urology Physician	$468.4K	$0
Geoffrey Kostiner	VA	Urology Physician	$389.3K	$0
Todd Roth	NC	Diagnostic Radiology Physician	$384K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Family Services Of Virginia, Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$194.3M
Horizon Behavioral Health	VA	Community/Behavioral Health Agency	$0	$138.1M
Brightview LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$32M
Virginia Treatment Center, LLC	VA	Methadone Clinic	$116.5K	$15.9M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Cabaniss Consultants LLC	VA	Developmentally Disabled Services Day Training Agency	$0	$10.9M
Sense Of Security Care, Inc.	VA	Home Health Aide	$0	$9.2M
Surgery Center Of Lynchburg LLC	VA	Ambulatory Surgical Clinic/Center	$4M	$799.8K
Landon Colling	VA	Ophthalmology Physician	$2.8M	$190
Pathology Consultants Of Central Va, Inc	VA	Clinical Medical Laboratory	$696K	$1.6M

Michael Kalafian — Billing Profile & Reimbursement Data

Sign up for Michael Kalafian — Billing Profile & Reimbursement Data policy alerts

Michael Kalafian — Billing Profile & Reimbursement Data

Sign up for Michael Kalafian — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References