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

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

Rafael Firszt (NPI 1659533669)

Field	Value
Entity Type	Individual
Organization	Rafael Firszt
Address	2965 W 3500 S
City	West Valley City
State	UT
ZIP	84119
Taxonomy	Specialist
NPI Enumerated	June 30, 2008

Payer Source	Total Paid
Medicare	$10.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 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…	90	$90	$7.6K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	50	$30	$1.3K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	40	$10	$570
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	10	$30	$350
82785	The lab analyst performs the technical lab test to analyze the quantity of immunoglobulin E in the specimen.	10	$20	$210
83520	The lab analyst measures the analyte, which is not an infectious agent antibody or infectious agent antigen, by immunoassay. Use 83520 for procedures that have no specific code assigned for the…	10	$20	$200
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$150
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Rafael Firszt — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,923	4,080	80	$80	$11.6K
82306	132	140	30	$30	$3.1K
94375	4	10	90	$30	$2.4K
83520	5	10	90	$20	$1.9K
36415	701	870	50	$10	$1.6K
85025	385	470	50	$10	$1.5K
82785	4	10	50	$20	$1.2K
95012	3	10	40	$10	$500

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granger Medical Clinic PC	UT	Multi-Specialty Clinic/Center	$0	$5.1M
Douglas Mehr	UT	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Mary Jane Pennington	UT	Pediatrics Physician	$729.8K	$15K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Granger Medical Specialists LLC	UT	Clinic/Center	$0	$618K
Douglas Heiner	UT	Procedural Dermatology Physician	$530K	$0
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Craig Davis	UT	Interventional Pain Medicine Physician	$272.9K	$0
Michael Hinckley	UT	Dermatology Physician	$249.9K	$0
Stewart Landau	UT	Urology Physician	$243.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Community Physicians Group	UT	General Practice Physician	$0	$36M
Unified Fire Authority-salt Lake	UT	Land Ambulance	$920.5K	$14.6M
C.n.s. Corporation	UT	Home Health Agency	$0	$13.6M
West Valley City	UT	Ambulance	$202.1K	$6.2M
Unified Health Services LLC	UT	Community Based Hospice Care Agency	$0	$4.1M
Community Nursing Service	UT	Community Based Hospice Care Agency	$0	$4.1M
Granger Pediatric Dentistry	UT	Dental Clinic/Center	$0	$2.4M
Hans Petersen	UT	Pediatric Dentistry	$0	$1.6M
Standard Optical Co	UT	Optometrist	$0	$1.5M
Community Nursing Service	UT	Home Health Agency	$0	$970.4K

Rafael Firszt — Billing Profile & Reimbursement Data

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Rafael Firszt — 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