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.

John Raffalli (NPI 1821043019)

Field	Value
Entity Type	Individual
Organization	John Raffalli
Address	Mount Kisco Medical Group, PC
City	Mount Kisco
State	NY
ZIP	10549
Taxonomy	Infectious Disease Physician
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicare	$94.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	200	$100	$20.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	130	$160	$19.5K
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…	60	$110	$6.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	110	$60	$6.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$150	$5.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$120	$5.5K
99204	The provider sees a new 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 provider…	30	$150	$4.5K
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…	40	$80	$2.9K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	290	$10	$2.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	320	$10	$2.6K

Showing 1–10 of 36

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

John Raffalli — 0 of 25 codes 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

36 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,746	30,450	90	$100	$19K
99233	5,105	8,640	80	$100	$15.8K
99232	9,031	11,850	80	$70	$13.8K
99213	22,575	31,440	80	$70	$12.1K
G0439	3,865	6,290	50	$130	$11.2K
82306	681	1,030	60	$30	$10.9K
99215	1,241	8,280	40	$140	$10.1K
84443	964	1,510	90	$20	$7.9K
96365	212	610	80	$60	$7.7K
80061	1,081	1,460	120	$10	$7.3K

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optum Medical Care, P.C.	NY	Cardiovascular Disease Physician	$0	$105.1M
Hcs Home Care Of Westchester Inc	NY	Home Health Agency	$0	$40.5M
Starnet Emergency Services	NY	Land Ambulance	$2.8M	$2.9M
Craig Fern	NY	Specialist	$4.1M	$276.3K
Eric Fitz	NY	Ophthalmology Physician	$2.2M	$1.3K
Daniel Mark	NY	Radiation Oncology Physician	$2.2M	$0
Raisa Katz	NY	Vascular & Interventional Radiology Physician	$1M	$345.9K
Mt Kisco Surgery Center LLC	NY	Ambulatory Surgical Clinic/Center	$702.8K	$22.4K
Henry Janssen	NY	Diagnostic Radiology Physician	$672.5K	$0
Melanie Warycha	NY	MOHS-Micrographic Surgery Physician	$643.2K	$0

John Raffalli — 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