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

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

Daniel Oppenheim (NPI 1659300515)

Field	Value
Entity Type	Individual
Organization	Daniel Oppenheim
Address	175 Us Route 1
City	Scarborough
State	ME
ZIP	04074
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicare	$1.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99451	A consulting physician or other qualified healthcare professional performs a 5–minute or more consult via telephone, internet, or electronic health record (EHR) and provides a written report to the…	60	$20	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Daniel Oppenheim — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99451	1	10	10	$20	$680

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital	NH	Critical Access Hospital	$0	$7.4M
Mainehealth	ME	General Acute Care Hospital	$0	$4.3M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$2.8M
Mainehealth	ME	Family Medicine Physician	$0	$2.7M
Memorial Hospital	NH	Rural Health Clinic/Center	$0	$2.2M
Mainehealth	ME	General Acute Care Hospital	$0	$1.4M
Memorial Hospital	NH	Family Medicine Physician	$0	$745.5K
Nicholas Armellino	ME	Emergency Medicine Physician	$108.6K	$0
Catherine Fernando	NH	Emergency Medicine Physician	$94.9K	$0
Angelique Sawyer	NH	Optometrist	$87.6K	$0

Daniel Oppenheim — Billing Profile & Reimbursement Data

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Daniel Oppenheim — 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

Frequently Asked Questions

References