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

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

Farrell Mendelsohn (NPI 1770548307)

Field	Value
Entity Type	Individual
Organization	Farrell Mendelsohn
Address	801 Princeton Ave Sw
City	Birmingham
State	AL
ZIP	35211
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

Medicare revenue is highly concentrated: the top three Medicare codes account for 74.5% of this provider’s total Medicare revenue, with 78431 ($660.7K, 50.9%), A9555 ($166.6K, 12.8%), and 99214 ($138.4K, 10.7%) listed as the largest individual revenue sources. This concentration indicates a dependence on a small set of high-revenue services rather than a broad, evenly distributed billing mix.

The code mix points to a PET/nuclear cardiac imaging–centric operation supported by E/M volume: 78431 and radiopharmaceutical codes (A9555 and A9502) together drive the majority of revenue, while high counts of 93000 and 93015 show extensive ECG/stress testing throughput. These patterns (high-dollar imaging plus frequent diagnostic cardiology procedures) are consistent with a cardiology practice that runs an on‑site or closely affiliated cardiac imaging and stress-testing suite.

This provider is effectively single‑payer in the dataset: total Medicare revenue is $1.3M and there is no Medicaid billing on file, so Medicaid does not contribute measurable revenue. That payer mix implies financial exposure concentrated to Medicare payment policies and utilization trends rather than a diversified public-payer base.

Competitive standing on key imaging codes is strong by national percentile: the provider ranks #50 of 1377 (96th percentile) for 78431 and #54 of 1266 (96th percentile) for A9555, placing them among higher-volume national performers for PET/perfusion imaging even though the supplied descriptors label those volumes as "typical, unremarkable." At the same time, other procedural and inpatient E/M ranks (for many codes) sit in mid-to-lower percentiles, indicating the provider’s national prominence is focused specifically on cardiac imaging services.

Ambulatory and diagnostic volume show statistical outliers: 99214 (1.7K claims, $138.4K) and 93000 (1.8K claims, $17.7K) are both described as "extreme outlier, far above typical national volume," signaling an unusually large office-visit and ECG throughput relative to national peers. These high-volume, lower-unit-price services suggest substantial patient-facing clinic activity complementing the imaging business.

There is evidence of an implanted-device follow-up program producing recurring, modest revenue: remote monitoring and analysis codes 93296 (307 claims, $4.6K), 93294 (188 claims, $3.9K), and 93295 (120 claims, $3K) appear in the top codes and are described in the mid percentiles (71st, 62nd, 63rd respectively). This mix implies ongoing chronic-care device management activity that generates steady claim counts but smaller per‑claim revenue compared with imaging.

Interventional cath and vascular procedures are present but low-volume: codes such as 92928 (29 claims, $12.7K) and 37215 (13 claims, $9.6K) contribute small shares of revenue and rank in modest national percentiles, indicating the provider performs occasional invasive procedures but is not principally an interventional hub. The clinical profile therefore tilts toward diagnostic imaging and outpatient cardiology rather than high-volume interventional practice.

The provider has long tenure in the NPI registry (enumerated 2006-04-18, ~20 years ago), which supports the likelihood of an established referral network and operational infrastructure for high-throughput imaging and clinic services. Combined with the concentrated Medicare revenue and the absence of Medicaid billing, this longevity underscores a stable, Medicare-focused specialty practice rather than a newly established or Medicaid-centric operation.

Medicare: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	360	$1,860	$660.7K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	710	$230	$166.6K
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…	1,690	$80	$138.4K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	590	$130	$76K
J2785	Injection, regadenoson, 0.1 mg	1,510	$40	$64.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	200	$130	$26.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	240	$90	$21.7K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	390	$50	$19.8K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	1,770	$10	$17.7K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	30	$440	$12.7K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Farrell Mendelsohn — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78431	1	50	60	$1,850	$166.5K
A9555	1	50	160	$230	$45.3K
93306	32	440	170	$80	$19.1K
99214	28	7,330	120	$80	$16.8K
78452	182	250	50	$210	$16.2K
A9502	55	80	110	$90	$15.1K
J2785	2	160	270	$40	$15K
99233	325	1,860	80	$90	$13.4K
99232	1,535	2,530	100	$60	$13.3K
92928	31	90	30	$400	$12K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Sibley	AL	Cardiovascular Disease Physician	$627.4K	$0
Hutton Brantley	AL	Cardiovascular Disease Physician	$552.2K	$0
Vasudeva Goli	AL	Cardiovascular Disease Physician	$454K	$0
Thomas Cawthon	AL	Cardiovascular Disease Physician	$410.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Simon-williamson Clinic, P.C.	AL	Internal Medicine Physician	$0	$3.6M
Lifeguard Ambulance Service LLC	AL	Land Ambulance	$1.3M	$1.8M
Bbh Pbmc, LLC	AL	General Acute Care Hospital	$0	$3.1M
Simon Williamson Clinic Pediatrics PC	AL	Pediatrics Physician	$0	$1M
Jason Tsai	AL	Nephrology Physician	$448K	$0
Ariana Diamond	AL	Ophthalmology Physician	$284.1K	$0
Katisha Vance	AL	Hematology & Oncology Physician	$261K	$0
William Maddox	AL	Clinical Cardiac Electrophysiology Physician	$254.6K	$0
James Lewis	AL	Nephrology Physician	$144.6K	$0
Robert Agee	AL	Family Medicine Physician	$136.7K	$0

Farrell Mendelsohn — 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