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

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

Richard Battafarano (NPI 1700803244)

Field	Value
Entity Type	Individual
Organization	Richard Battafarano
Address	22 S Greene St
City	Baltimore
State	MD
ZIP	21201
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$42.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43117	The provider performs removal from the two thirds of the esophagus closest to the stomach. He may also remove part of the upper stomach. In the chest, he connects the esophagus to the remaining…	10	$1,440	$17.3K
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…	100	$80	$8K
32663	This procedure involves visualizing the chest cavity and the lobe of the lung to remove it.	20	$330	$5K
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…	70	$60	$3.9K
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…	20	$110	$2.3K
32674	This procedure involves visualizing the chest cavity and the mediastinal lymph nodes in order to remove them.	20	$90	$2.1K
99203	The provider sees a new 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 provider…	30	$60	$1.7K
38746	In this add on procedure, the provider incises the chest and removes thoracic and mediastinal lymph nodes. He commonly removes the lymph nodes for cancer of the breast, lung, or chest wall. The…	10	$70	$1K
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,…	30	$20	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Richard Battafarano — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,340	10,270	150	$90	$24.1K
32663	6	10	20	$870	$19.1K
43117	1	10	10	$1,440	$17.3K
99213	5,507	9,280	100	$60	$12.5K
99204	3,964	5,380	40	$120	$7.3K
99203	2,288	3,630	40	$80	$5K
32674	10	10	30	$150	$5K
99212	1,161	2,360	30	$40	$2.7K
38746	1	10	10	$70	$1K

Richard Battafarano — Billing Profile & Reimbursement Data

Sign up for Richard Battafarano — Billing Profile & Reimbursement Data policy alerts

Richard Battafarano — Billing Profile & Reimbursement Data

Sign up for Richard Battafarano — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References