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.

Douglas Weinstein (NPI 1639389315)

Field	Value
Entity Type	Individual
Organization	Douglas Weinstein
Address	19 Davis Ave Fl 6
City	Neptune
State	NJ
ZIP	07753
Taxonomy	Gastroenterology Physician
NPI Enumerated	May 23, 2007

Payer Source	Total Paid
Medicare	$35.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	70	$100	$6.7K
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…	80	$70	$5.4K
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…	40	$130	$4.5K
99205	The provider sees a new 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 provider…	20	$180	$4.3K
43245	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates one or more gastric and/or duodenal strictures.	30	$110	$2.8K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	40	$70	$2.7K
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…	40	$70	$2.4K
43235	The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.	20	$100	$2K
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…	10	$140	$1.8K
91040	The provider performs esophageal balloon dilation to determine whether the patient’s chest pain results from esophageal or cardiac causes. The procedure includes provocation, if performed.…	40	$40	$1.6K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Douglas Weinstein — 1 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9,143	13,640	130	$90	$23.6K
43239	493	610	80	$160	$18.5K
99232	5,113	6,220	120	$70	$18.4K
99213	8,077	14,090	100	$70	$13.1K
99215	2,049	3,750	40	$140	$12K
99223	4,632	4,980	50	$140	$11.8K
99205	1,049	1,970	30	$170	$6.5K
43245	1	10	30	$110	$2.8K
43235	43	130	20	$110	$2.2K
95982	1	10	20	$40	$980

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$128.2M
Children's Center Programs, LLC	NJ	Developmentally Disabled Services Day Training Agency	$0	$44.6M
Nj Certified Dermatology PC	NJ	Dermatology Physician	$0	$14.9M
Coastal Ear Nose And Throat, LLC	NJ	Otolaryngology Physician	$0	$13.3M
Preferred Home Healthcare & Nursing Services, Inc.	NJ	Home Health Agency	$0	$13M
Jsas Healthcare, Inc.	NJ	Methadone Clinic	$480K	$12.3M
Neptune Adult Day Health Center, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.5M
Meridian Hospitals Corporation	NJ	General Acute Care Hospital	$0	$11.8M
Morning Glory Behavioral Health Partial Care Program LLC	NJ	Adult Mental Health Clinic/Center	$0	$10M
Alternative Counseling Method LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M

Douglas Weinstein — Billing Profile & Reimbursement Data

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Douglas Weinstein — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References