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

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

Andrew Appelbaum (NPI 1669565081)

Field	Value
Entity Type	Individual
Organization	Andrew Appelbaum
Address	1370 116th Ave Ne Ste 206
City	Bellevue
State	WA
ZIP	98004
Taxonomy	Family Medicine Physician
NPI Enumerated	September 30, 2006

Payer Source	Total Paid
Medicare	$51.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 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…	280	$50	$14.8K
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…	160	$80	$12.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	$130	$12K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	10	$170	$2.2K
0124A	N/A	50	$40	$1.9K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$170	$1.9K
82274	The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…	100	$20	$1.6K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	20	$70	$1.1K
G0008	Administration of influenza virus vaccine	30	$30	$990
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	10	$80	$990

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Andrew Appelbaum — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,532	10,860	100	$80	$13.6K
G0439	636	2,390	50	$130	$9.7K
90694	1,169	1,300	30	$70	$6.6K
99213	854	9,690	60	$60	$6.5K
90662	777	1,000	30	$70	$5.5K
82274	5	10	100	$20	$5.2K
G0438	222	330	20	$160	$3.6K
G0008	1,138	2,280	30	$30	$2.6K
G0402	61	80	10	$160	$2.2K
0124A	174	620	30	$40	$1.7K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Language Service, Inc.	WA	Contractor	$0	$103.7M
Overlake Medical Center & Clinics	WA	General Acute Care Hospital	$0	$16.6M
Daiya Healthcare PLLC	WA	Internal Medicine Physician	$0	$8.7M
Steve Kim	WA	Ophthalmology Physician	$3.4M	$20
David Saperstein	WA	Ophthalmology Physician	$3.3M	$100
Andrew Barloon	WA	Ophthalmology Physician	$2.7M	$20
Puget Sound Physicians PLLC	WA	Emergency Medicine Physician	$0	$2.5M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.5M
Charles Birnbach	WA	Ophthalmology Physician	$2.4M	$0
Todd Klesert	WA	Ophthalmology Physician	$2.1M	$0

Andrew Appelbaum — Billing Profile & Reimbursement Data

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Andrew Appelbaum — 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