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

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

Mark Alter (NPI 1730263617)

Field	Value
Entity Type	Individual
Organization	Mark Alter
Address	2160 S 1st Ave
City	Maywood
State	IL
ZIP	60153
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicare	$9.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	40	$130	$5.8K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	20	$120	$2.1K
90839	In this service, the provider performs psychotherapy for a crisis situation when the patient is in a life–threatening state and needs immediate attention. The treatment session typically lasts…	20	$100	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Mark Alter — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90792	138	380	30	$130	$7.2K
90791	326	570	20	$110	$4.2K
90839	6	10	20	$80	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mark Alter, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Virginia Physicians Group	VA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$84.6M
Ellis Hospital	NY	General Acute Care Hospital	$0	$82.3M
Ssm Health Care St. Louis	MO	General Acute Care Hospital	$0	$50.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Southside Behavioral Health	VA	Community/Behavioral Health Agency	$0	$34.8M
King County Public Hospital District No. 2	WA	General Acute Care Hospital	$0	$31.5M
Ssm Health Care St. Louis	MO	General Acute Care Hospital	$0	$27.7M
Shenandoah Memorial Hospital, Inc.	VA	Critical Access Hospital	$0	$23.5M
Ssm Medical Group, Inc.	MO	Multi-Specialty Clinic/Center	$0	$19.4M

Mark Alter — Billing Profile & Reimbursement Data

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Mark Alter — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References