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

Why is the Medicaid comparison limited to New York 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. New York (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 Whitlow (NPI 1669431979)

Field	Value
Entity Type	Individual
Organization	Michael Whitlow
Address	635 Madison Ave
City	New York
State	NY
ZIP	10022
Taxonomy	Clinical & Laboratory Dermatological Immunology Physician
NPI Enumerated	March 23, 2006

Payer Source	Total Paid
Medicare	$138.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	600	$70	$41.6K
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…	350	$100	$35.2K
11313	The provider shaves off a single epidermal or dermal lesion of 2.0 cm or greater in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.	120	$140	$16.3K
11303	The provider shaves off a single epidermal or dermal lesion greater than 2.0 cm in diameter from the skin of the trunk, arms, or legs.	140	$110	$15.2K
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…	70	$120	$7.9K
17264	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 3.1 cm to 4.0 cm in…	20	$170	$3.5K
11308	The provider shaves off a single epidermal or dermal lesion greater than 2.0 cm in diameter from the skin of the scalp, neck, hands, feet, or genitals.	40	$90	$3.4K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	20	$150	$3.3K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	30	$90	$2.7K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	10	$160	$2.1K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Michael Whitlow — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,798	30,450	90	$100	$19K
17004	317	450	40	$140	$13.7K
99213	1,765	31,440	80	$70	$12.1K
17110	963	1,280	60	$90	$9.7K
10061	84	110	30	$190	$8.9K
17000	1,011	1,300	120	$40	$8.7K
11313	1	10	80	$140	$8.6K
11303	3	20	30	$110	$6.8K
99204	3,309	14,170	30	$130	$6.6K
10060	280	400	20	$110	$5K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Klancnik	NY	Specialist	$4.2M	$175.2K
K Freund	NY	Ophthalmology Physician	$3.6M	$675.9K
Ali Aboufares	NY	Interventional Cardiology Physician	$1.3M	$2.1M
Irene Barbazetto	NY	Ophthalmology Physician	$3.2M	$86.9K
Michael Engelbert	NY	Ophthalmology Physician	$2.6M	$27.1K
Michael Cooney	NY	Ophthalmology Physician	$2.1M	$75K
John Sorenson	NY	Ophthalmology Physician	$2M	$0
Richard Spaide	NY	Ophthalmology Physician	$1.9M	$320
Wayne Fuchs	NY	Ophthalmology Physician	$1.7M	$0
Jason Slakter	NY	Ophthalmology Physician	$1.2M	$0

Michael Whitlow — Billing Profile & Reimbursement Data

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Michael Whitlow — 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