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

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

George Northrop (NPI 1760497432)

Field	Value
Entity Type	Individual
Organization	George Northrop
Address	14 Terre Haute Rd
City	Danbury
State	CT
ZIP	06810
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 30, 2006

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant payer relationship: total Medicare revenue is $2.1M while Medicaid is listed as none (no Medicaid billing on file), indicating the practice is effectively single-payer from a public program perspective and will be highly sensitive to Medicare policy and payment changes. The absence of Medicaid billing also means there is no in-state Medicaid volume to benchmark against or to diversify public-payer exposure.

Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 82.3% of this provider’s total Medicare revenue. Those top codes are Q4236 (65.3% of Medicare revenue), 11042 (9.0%), and 99309 (8.0%), so changes to reimbursement or utilization for any of these three codes would disproportionately affect overall revenue.

The code mix points to two clear service lines: wound care/debridement and nursing-facility E/M care. Q4236 (Carepatch, billed per square centimeter) and multiple debridement codes such as 11042 and 11045, plus skin-substitute codes like 15271, signal a substantive wound-care/surgical debridement practice, while 99309, 99308, 99305 and related codes show extensive nursing facility evaluation-and-management activity. Together these code families suggest day-to-day operations that combine procedural wound management with ongoing nursing-facility patient management.

11042 is a pronounced national outlier for this provider: it generates $190.7K (9.0% of Medicare revenue) and the provider ranks #43 of 10712 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). That level of debridement volume is unusual and indicates this clinician is performing surgical debridement at far higher rates than most peers nationally, making this a defining aspect of their Medicare business.

Nursing-facility E/M codes are also concentrated and above typical national volumes: 99309 produced $168.5K (8.0% of Medicare revenue) with a rank of #911 of 28092 (97th percentile; notably above typical), and 99308 produced $165.7K (7.8% of Medicare revenue) with a rank of #509 of 25763 (98th percentile; notably above typical). These ranks show the provider is a major participant in nursing-facility care relative to national peers, indicating a substantial NH/skilled-nursing patient panel or contracted coverage responsibilities.

By contrast, Q4236—while the single largest revenue source at $1.4M (65.3% of Medicare revenue)—is not a high-volume outlier: it ranks #42 of 79 providers nationally (47th percentile; typical, unremarkable volume for this code). This means the bulk of revenue comes from a code where this provider’s per-code volume is conventional among the smaller national set of billers for Q4236, even though dollar impact is large due to the code’s unit price and claim count.

The provider has been established on Medicare for an extended period, with NPI enumeration listed as 2006-07-30 (~20 years ago), which supports the plausibility of sustained specialty activity in wound care and nursing-facility services over time. This tenure is consistent with the concentrated, repeat-service patterns seen in both procedural (debridement/skin substitute) and ongoing E/M nursing-facility codes.

The combined pattern—very large share of Medicare revenue tied to three codes (82.3%), extreme national concentration on 11042, and no Medicaid billing—creates concentrated operational and payer risk: a narrow set of codes and a single public payer dominate revenue, so utilization, coding or payment shifts for those codes or changes in Medicare policy could materially affect practice revenue. Analysts should treat this profile as high-dependency on a wound-care/debridement service line and on Medicare reimbursement stability.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	1,360	$1,020	$1.4M
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.	1,730	$110	$190.7K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,920	$90	$168.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	2,670	$60	$165.7K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	620	$110	$67.4K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	1,720	$30	$58.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	790	$30	$26K
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	130	$130	$17.3K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	90	$150	$13.7K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	130	$70	$8.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

George Northrop — 7 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	1	10	1,360	$1,020	$1.4M
99309	10	550	260	$80	$31.3K
99308	6	510	190	$50	$20K
11043	26	30	50	$140	$14.9K
99306	75	250	50	$140	$12.7K
11042	1	120	90	$70	$9.7K
99305	1	190	40	$100	$7.5K
99304	9	40	50	$60	$6.1K
15271	1	10	50	$90	$5.6K
11045	1	30	90	$20	$5.4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Bickel	NY	Adult Health Nurse Practitioner	$338.3K	$16.8K
Diane Lusas	CT	Surgery Physician	$132.9K	$70.6K
Alban Miller	IL	Plastic and Reconstructive Surgery Physician	$74.9K	$51.2K
Lutfullah Baskoy	IN	Preventive Medicine/Occupational Environmental Medicine Physician	$109.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Danbury Hospital	CT	General Acute Care Hospital	$0	$123.8M
Family And Children's Aid, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$64M
Midwestern Connecticut Council On Alcoholism, Inc	CT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.9M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$32.8M
Nuvance Health Medical Practice Ct, Inc.	CT	Internal Medicine Physician	$0	$20.2M
Connecticut Institute For Communities Inc	CT	Federally Qualified Health Center (FQHC)	$0	$14.9M
Connecticut Counseling Centers, Inc.	CT	Methadone Clinic	$243.5K	$12.1M
Center For Pediatric Medicine	CT	Pediatrics Physician	$0	$9.4M
Optimum Medical LLC	CT	Pediatrics Physician	$0	$8.9M
Kids Dental Specialists LLC	CT	Pediatric Dentistry	$0	$7.8M

George Northrop — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References