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

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

Keith Merlin (NPI 1659316701)

Field	Value
Entity Type	Individual
Organization	Keith Merlin
Address	31 Roche Bros Way
City	North Easton
State	MA
ZIP	02356
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicare	$27.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	20	$1,080	$18.3K
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	$70	$4.2K
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…	30	$100	$2.4K
99203	The provider sees a new 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 provider…	20	$80	$1.6K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	10	$50	$590
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	10	$40	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Keith Merlin — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	13,373	15,410	110	$80	$15.6K
58558	6	20	20	$690	$12.5K
99213	7,463	13,700	70	$60	$8.8K
99203	3,127	4,290	30	$80	$4.1K
G0101	416	460	30	$40	$1.7K
Q0091	226	290	20	$40	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Signature Healthcare Medical Group Inc	MA	Internal Medicine Physician	$0	$33.4M
Mohamad El-zaru	MA	Cardiovascular Disease Physician	$543.5K	$0
Roy Bryan	CA	Diagnostic Radiology Physician	$417.1K	$90
Donald Joyce	RI	Radiation Oncology Physician	$411.3K	$0
Nicklas Oldenburg	RI	Radiation Oncology Physician	$399.1K	$0
Aqeel Siddiqui	MA	Vascular Surgery Physician	$390.4K	$0
Mark Franciosa	MA	Internal Medicine Physician	$26.4K	$319.9K
NPI 1902804107	—	—	$346.2K	$0
Mark Bobbin	MA	Diagnostic Radiology Physician	$319.8K	$0
Gregg Miller	MA	Diagnostic Radiology Physician	$259.2K	$54.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Easton	MA	Ambulance	$306.3K	$695.1K
Kyung Hee Chang	MA	MOHS-Micrographic Surgery Physician	$526.4K	$0
James Fitzgerald	MA	Urology Physician	$422.1K	$0
Jason Fanuele	MA	Orthopaedic Surgery Physician	$349.6K	$0
Padraic Mccahill	MA	Urology Physician	$334.4K	$0
Ryan Frankel	MA	Urology Physician	$304K	$0
David Worman	MA	Specialist	$291.7K	$0
Natalya Lopushnyan	MA	Urology Physician	$280.8K	$0
Anthony Wong	MA	Pain Medicine Physician	$244.6K	$0
Jonathan Brajtbord	MA	Urology Physician	$227K	$0

Keith Merlin — Billing Profile & Reimbursement Data

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Keith Merlin — 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