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

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

Alexander Claussen (NPI 1659719235)

Field	Value
Entity Type	Individual
Organization	Alexander Claussen
Address	200 Hawkins Dr
City	Iowa City
State	IA
ZIP	52242
Taxonomy	Otology & Neurotology Physician
NPI Enumerated	June 5, 2013

Payer Source	Total Paid
Medicare	$31.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69930	The external parts include microphone, speech processor, and a transmitter. The implant is surgically placed under the skin behind the ear. The internal parts are a receiver and stimulator which are…	20	$900	$17K
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…	100	$90	$8.2K
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…	70	$70	$4.7K
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…	30	$50	$1.3K
92504	In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…	50	$10	$370

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Alexander Claussen — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
69930	2	10	20	$880	$18.4K
99214	2,923	4,690	100	$70	$14.4K
99213	3,968	4,740	100	$50	$8K
99204	230	1,870	30	$100	$5K
92504	23	60	40	$20	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iain Macewan	CA	Radiation Oncology Physician	$2.2M	$0
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Keith Miller	FL	Radiation Oncology Physician	$1.7M	$0
Philip Bosch	CA	Urology Physician	$1.3M	$230
Shang I Jiang	CA	Dermatology Physician	$1.1M	$0
Gaurav Singh	WI	MOHS-Micrographic Surgery Physician	$692.4K	$0
Joseph Crapotta	NY	Retina Specialist (Ophthalmology) Physician	$605.9K	$6.7K
James Howard	CA	General Practice Physician	$606.7K	$0
Luke Bolek	FL	Diagnostic Radiology Physician	$573.6K	$0
Erik Gilbertson	CA	Dermatology Physician	$474.1K	$0

Alexander Claussen — Billing Profile & Reimbursement Data

Sign up for Alexander Claussen — Billing Profile & Reimbursement Data policy alerts

Alexander Claussen — Billing Profile & Reimbursement Data

Sign up for Alexander Claussen — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References