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 Armed Forces Europe for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Europe 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. Armed Forces Europe (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.

Michael Ancona (NPI 1659534626)

Field	Value
Entity Type	Individual
Organization	Michael Ancona
Address	Naval Hospital Guantanamo Bay Cuba
City	Fpo
State	AE (Armed Forces Europe)
ZIP	09589
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 9, 2008

Payer Source	Total Paid
Medicare	$9.7K
Medicaid	$0

Key Findings

This provider is an Anesthesiology Physician whose Medicare billing is concentrated in ophthalmic anesthesia procedures: the top-revenue codes are 00142 (anesthesia for eye lens procedures) and 00145 (anesthesia for vitreoretinal surgery), indicating a practice pattern focused on anesthesia for ophthalmic surgical cases rather than broad multispecialty anesthesia coverage. The code mix suggests the provider’s clinical activity is primarily tied to eye surgery workflows and case types described by those CPT codes.

Revenue concentration on Medicare is highly focused: the precomputed top-3 codes account for 100.0% of this provider's total Medicare revenue, with 00142 generating $7.9K (82.2% of Medicare revenue) and 00145 generating $1.7K (17.8% of Medicare revenue). This indicates virtually all reported Medicare receipts are coming from a very narrow set of anesthesia services.

Scale of billing is low in absolute terms: lifetime Medicare revenue on file is $9.7K and there is no Medicaid billing on file, so this provider is effectively single-payer in the dataset and operates at a small Medicare revenue footprint. Analysts should treat this entity as a low-revenue, Medicare-centered anesthesiology biller rather than a high-volume or mixed-payer practice.

Competitive standing on 00142 is modest nationally: 00142 ranks #4508 of 19760 providers nationally (77th percentile) and is characterized as "typical, unremarkable volume for this code," so while the provider performs a routine amount of eye-lens anesthesia relative to peers, it is not a dominant national outlier. The provider’s 86 claims for 00142 with an average paid/claim of $92 produced $7.9K in revenue, consistent with a routine but not leading market position.

For 00145 the provider shows relatively low national activity: 00145 ranks #1892 of 2492 providers nationally (17th percentile) and is described as "typical, unremarkable volume for this code," indicating below-median participation among the smaller national comparator set for vitreoretinal anesthesia. With 13 claims, an average paid/claim of $132, and $1.7K in revenue, this code represents a secondary, lower-volume component of the provider’s Medicare mix.

Tenure in the NPI file is long: the NPI was enumerated on 2008-07-09 (~18 years ago), so this provider has been registered in the federal NPI system for nearly two decades, which can matter when reviewing historical referral relationships or practice stability even though current billed volumes are small.

There are no statistical outliers on the listed Medicare codes: both reported codes are explicitly labeled "typical, unremarkable volume for this code," so the provider’s activity should be interpreted as consistent with routine clinical practice patterns for ophthalmic anesthesia rather than unusually high or low reporting behavior. This supports a conclusion of focused, steady practice-level activity rather than anomalous billing.

Claim-level payment and utilization detail reinforce the narrow practice footprint: the provider submitted 86 claims for 00142 at an average paid/claim of $92 and 13 claims for 00145 at an average paid/claim of $132; combined these account for the full $9.7K Medicare revenue on file. These counts and per-claim payments further indicate the provider’s Medicare presence is concentrated in a small number of procedure types and modest in aggregate size.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	90	$90	$7.9K
00145	The provider performs anesthesia services for a patient undergoing vitreoretinal surgery.	10	$130	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Europe Distribution

Michael Ancona — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Europe

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	1	10	70	$90	$6K
00145	1	10	10	$130	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Priscilla Price	LA	Certified Registered Nurse Anesthetist	$17.3K	$142.1K
Christopher Huser	CO	Pain Medicine (Anesthesiology) Physician	$157.1K	$0
Gary Morris	CO	Anesthesiology Physician	$95.4K	$0
Jennifer Moore	UT	Nurse Practitioner	$65K	$0
Robert Gessman	CO	Pain Medicine (Anesthesiology) Physician	$62.7K	$0
Charles Ripp	CO	Pain Medicine (Anesthesiology) Physician	$60.6K	$0
Steven Jones	CO	Anesthesiology Physician	$59.9K	$0
Jason Williams	ID	Interventional Pain Medicine Physician	$56.7K	$0
Kattie Truesdell	CO	Certified Registered Nurse Anesthetist	$52.2K	$0
Gregory Dubla	MN	Certified Registered Nurse Anesthetist	$47.5K	$0

Michael Ancona — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References