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

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

John Alburger (NPI 1669597308)

Field	Value
Entity Type	Individual
Organization	John Alburger
Address	311 Tamiami Trl N
City	Naples
State	FL
ZIP	34102
Taxonomy	Otolaryngology Physician
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicare	$49.5K
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
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	120	$140	$16.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	90	$170	$14.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	40	$90	$4.1K
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…	180	$20	$4.1K
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…	30	$100	$3.4K
69200	The provider removes a foreign body from the external auditory canal without the use of general anesthesia.	30	$60	$2K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	40	$30	$1.3K
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…	10	$70	$1K
95992	The provider moves the patient through a series of positions to treat benign paroxysmal positional vertigo. The position changes move canalith particles from parts of the inner ear where they cause…	20	$40	$740
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	20	$30	$630

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. Florida Distribution

John Alburger — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	27,023	32,760	140	$90	$25K
11042	798	1,000	100	$70	$17.4K
99213	28,681	30,010	80	$60	$12K
99215	1,690	8,550	40	$130	$10.7K
99205	476	4,820	30	$160	$6.6K
92557	549	610	110	$30	$4.4K
69210	523	1,070	40	$30	$4.3K
69200	8	40	20	$60	$2.2K
92570	31	40	60	$20	$2K
92588	164	200	50	$20	$2K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Naples Community Hospital Inc	FL	Psychiatric Hospital	$0	$26.7M
Stepping Stone Kids Therapy LLC	FL	Behavior Analyst	$0	$10.3M
Southwest Florida Emergency Management LLC	FL	Emergency Medicine Physician	$0	$7.5M
Naples Pathology Associates PA	FL	Anatomic Pathology & Clinical Pathology Physician	$2.3M	$3.1M
Ryan Houk	FL	Cardiovascular Disease Physician	$2.3M	$0
Joel Grossman	FL	Medical Oncology Physician	$2.1M	$0
Ronald Levine	FL	Interventional Cardiology Physician	$2M	$0
Ferdy Santiago	FL	Medical Oncology Physician	$2M	$0
Brett Stanaland	FL	Allergy Physician	$1.4M	$0
Pavan Anand	FL	Internal Medicine Physician	$1.4M	$0

John Alburger — Billing Profile & Reimbursement Data

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John Alburger — 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