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

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

Frederick Hess (NPI 1811924814)

Field	Value
Entity Type	Individual
Organization	Frederick Hess
Address	799 Deer Park Ave
City	North Babylon
State	NY
ZIP	11703
Taxonomy	Chiropractor
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicare	$58.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	2,540	$20	$58.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Frederick Hess — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98940	7	1,150	390	$20	$11.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Kavesteen	NY	Cardiovascular Disease Physician	$958.5K	$514.3K
Jeffrey Nakhjavan	NY	Internal Medicine Physician	$885K	$584.4K
Khalid Noori	NY	Internal Medicine Physician	$829.7K	$280.6K
Mahmood Afghani	NY	Family Medicine Physician	$730.4K	$11.2K
Shankar Iyer	NY	Surgery Physician	$289.6K	$225.6K
Ronald Kim	NY	Foot & Ankle Surgery Podiatrist	$315.8K	$0
Chetan Sati	NY	Family Medicine Physician	$238.9K	$9.6K
Jason Schneider	NY	Vascular Surgery Physician	$222.6K	$0
Omer Aci	NY	Foot & Ankle Surgery Podiatrist	$216.6K	$40

Frederick Hess — Billing Profile & Reimbursement Data

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Frederick Hess — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References