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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Birbari (NPI 1750590485)

Field	Value
Entity Type	Individual
Organization	John Birbari
Address	1325 Pennsylvania Avenue
City	Fort Worth
State	TX
ZIP	76104
Taxonomy	Surgery Physician
NPI Enumerated	May 21, 2007

Payer Source	Total Paid
Medicare	$58K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43281	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	30	$1,200	$32.5K
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…	100	$80	$8.2K
49650	The provider performs laparoscopic repair of an initial inguinal hernia.	20	$420	$6.7K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	10	$480	$6.3K
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…	70	$70	$4.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

John Birbari — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43281	3	30	10	$1,110	$17.8K
49650	63	140	20	$500	$9K
47562	95	170	10	$530	$8.5K
99213	15,584	29,790	70	$60	$8.4K
99203	1,280	10,820	30	$70	$3.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acclaim Physician Group, Inc	TX	Internal Medicine Physician	$0	$30.9M
Harshal Broker	TX	Vascular Surgery Physician	$1.2M	$0
John Lucas	TX	Family Medicine Physician	$519.7K	$0
Salim Bhaloo	TX	Otolaryngology Physician	$509K	$0
Thomas Ratino	TX	Interventional Pain Medicine Physician	$384.7K	$0
Charles Smith	TX	Family Medicine Physician	$360.2K	$0
Mohanakrishnan Sathyamoorthy	TX	Cardiovascular Disease Physician	$354.7K	$0
Christopher Pratt	TX	Pain Medicine (Anesthesiology) Physician	$309.3K	$0
Jiangping Liu	TX	Neurology Physician	$299.1K	$0
Yadranko Ducic	TX	Otolaryngology Physician	$291.8K	$0

John Birbari — 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