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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Barron Emergency Physicians LLC (NPI 1790736940)

Barron Emergency Physicians LLC is a emergency medicine physician provider located in Manahawkin, New Jersey. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Barron Emergency Physicians LLC
Address	1140 Route 72 W
City	Manahawkin
State	NJ
ZIP	08050
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicaid	$21.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	155,570	$70	$11.2M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	137,360	$60	$7.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	73,710	$40	$2.6M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	700	$100	$68.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10,980	$1	$11K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	110	$20	$2K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	170	$1	$510
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	8,720	$0	$0
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	520	$0	$0
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2,620	$0	$0

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Barron Emergency Physicians LLC — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	16	260	4,240	$220	$4.1M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	7	320	580	$230	$4M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	3	280	920	$200	$2.6M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	109	140	1,410	$180	$1.3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	64	230	210	$160	$189K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	176	280	1,260	$20	$127.3K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	78	240	2,560	$10	$108.9K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	50	280	880	$1	$42.6K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	62	170	80	$10	$2.9K
99053	The provider renders overnight services at a 24 hour facility.	20	20	2,620	$1	$2K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$34.8M
Hemangini Shah	NJ	Radiation Oncology Physician	$2.4M	$0
Rosemarie Desantis	NJ	Rheumatology Physician	$1.1M	$0
Nagalakshmi Shetty	NJ	Rheumatology Physician	$817K	$0
Walter Miller	NJ	Family Medicine Physician	$391.4K	$0
Truc Nguyen	NJ	Ophthalmology Physician	$360.2K	$0
Mahesh Tekriwal	NJ	Cardiovascular Disease Physician	$343.9K	$0
Imani Rosario	NJ	Urology Physician	$342.4K	$0
Joseph Lattanzi	NJ	Radiation Oncology Physician	$342.2K	$0
Charles Fernicola	NJ	Urology Physician	$318.3K	$0

Barron Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Barron Emergency Physicians LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sekuleo Gathers	NY	Family Medicine Physician	$221.2K	$181.5K
Ellsworth Wright	NJ	Emergency Medicine Physician	$247.3K	$0
Allen Nau	NJ	Emergency Medicine Physician	$214.1K	$0
Samuel Carino	NJ	Emergency Medicine Physician	$211K	$0
Adil Roomi	NJ	Emergency Medicine Physician	$201.1K	$0
Muhammad Ali	NJ	Emergency Medicine Physician	$195.5K	$0
Michael Kaufer	NJ	Emergency Medicine Physician	$188.2K	$0
Daniel Funsch	FL	Emergency Medicine Physician	$180K	$0
Mark Darocki	NJ	Emergency Medicine Physician	$174K	$0
Matthew Sumicad	NY	Emergency Medicine Physician	$136.3K	$0