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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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 Yarofalir (NPI 1699800235)

Field	Value
Entity Type	Individual
Organization	John Yarofalir
Address	1 Lower Navy Hill
City	Saipan
State	MP
ZIP	96950
Taxonomy	Surgery Physician
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicare	$5.2K
Medicaid	$0

Key Findings

This provider’s recorded commercial footprint is extremely small: total Medicare revenue is $5.2K and there is no Medicaid billing on file (none). In practical terms the provider operates as effectively single‑payer (Medicare) in the available claims data, with negligible reported Medicaid activity that would otherwise diversify payer mix.

Revenue is highly concentrated in a narrow set of evaluation-and-management (E/M) services: the precomputed top three Medicare codes account for 91.4% of total Medicare revenue. Those top three are 99213 ($2K, 38.6% of Medicare revenue), 99231 ($1.8K, 34.4%), and 99232 ($960, 18.4%), indicating most dollars come from routine office and inpatient follow-up visits rather than procedure codes.

Code-level billing volumes and paid amounts reinforce an E/M-focused practice: 99213 shows 38 claims at $53 avg paid/claim, 99231 shows 46 claims at $39 avg paid/claim, and 99232 shows 15 claims at $64 avg paid/claim. These claim counts and per‑claim payments further show the provider’s Medicare activity is transactional and visit‑based rather than high-volume or procedure-driven.

The provider’s taxonomy is Surgery Physician but the code mix (99213, 99231, 99232) points to a clinical pattern dominated by established office visits and subsequent inpatient care rather than billed surgical procedures. This suggests the provider’s day-to-day revenue generation in the Medicare data comes from E/M encounters—likely post‑operative or inpatient follow‑up and routine outpatient management—rather than operating-room productivity.

Competitive standing on nationally benchmarked volume is modest to low: 99213 ranks #321277 of 457151 providers (29th percentile) and is described as typical and unremarkable volume; 99231 ranks #20294 of 50953 (59th percentile) and is also labeled typical; 99232 ranks #171162 of 177383 (3th percentile) and likewise carries a typical, unremarkable label. Overall these ranks indicate the provider is not a national volume leader on these codes and is a modest participant by Medicare benchmarks.

The provider has long tenure in the NPI registry—enumerated 2007-02-23 (~19 years ago)—yet the lifetime Medicare revenue ($5.2K) remains small. Long tenure combined with low reported Medicare billing could reflect a limited local patient base, part‑time clinical activity, or recent changes in practice patterns rather than a new entrant effect.

There are no statistical red flags or extreme outlier labels in the available code lines; each listed code is described as typical, unremarkable volume for that code. The most notable operational signal is concentration risk: 91.4% of Medicare revenue derives from just three E/M codes, so any shift in inpatient or outpatient visit volume would materially change this provider’s Medicare revenue profile.

Geography and scale are important context: the provider practices in SAIPAN, MP, and the low absolute Medicare revenue and absence of Medicaid billing suggest a limited Medicare patient pool in this market. For payer or network analysts, that combination implies the provider is a small, locally oriented E/M-focused contributor rather than a broad revenue generator for Medicare or Medicaid populations.

Medicare: Complete Services Breakdown

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

4 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…	40	$50	$2K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	50	$40	$1.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$60	$960
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$450

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

John Yarofalir — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	4	10	130	$60	$6.6K
99213	5	10	40	$40	$3.1K
99212	4	10	30	$20	$2.1K
99231	1	10	50	$40	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0

John Yarofalir — Billing Profile & Reimbursement Data

Sign up for John Yarofalir — Billing Profile & Reimbursement Data policy alerts

John Yarofalir — Billing Profile & Reimbursement Data

Sign up for John Yarofalir — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References