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.

Frederick Roediger (NPI 1659409977)

Field	Value
Entity Type	Individual
Organization	Frederick Roediger
Address	1250 Forest Ave
City	Portland
State	ME
ZIP	04103
Taxonomy	Otolaryngology Physician
NPI Enumerated	February 28, 2007

Payer Source	Total Paid
Medicare	$27.6K
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
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…	110	$90	$10.1K
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…	180	$50	$8.7K
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…	50	$70	$3.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	40	$50	$1.9K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	80	$20	$1.6K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	10	$70	$970
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	20	$50	$720

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. Maine Distribution

Frederick Roediger — 1 of 7 codes 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	6	10	140	$60	$12.9K
31231	15	20	40	$130	$9.7K
99214	1,598	2,500	70	$70	$7.2K
99213	243	2,350	50	$50	$4.3K
99204	24	810	30	$100	$3.6K
31575	14	40	40	$70	$3.2K
69210	17	50	40	$30	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granite Bay Care, Inc	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$281.6M
Spurwink Services	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$112.7M
Cor Health Services LLC	ME	Home Health Agency	$0	$55.9M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$52.9M
Casa, Inc.	ME	Adult Care Home Facility	$0	$50.1M
Gateway Community Services, LLC	ME	Community/Behavioral Health Agency	$0	$30.2M
Peregrine Corporation	ME	Case Management Agency	$0	$30M
Ubuntu Care	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.3M
New England Integrated Living Support	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$22.3M
Affinity	ME	Developmentally Disabled Services Day Training Agency	$0	$9.7M

Frederick Roediger — 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