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

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

Richard Kaufman (NPI 1841236155)

Field	Value
Entity Type	Individual
Organization	Richard Kaufman
Address	75 Francis Street
City	Boston
State	MA
ZIP	02115
Taxonomy	Blood Banking & Transfusion Medicine Physician
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicare	$4.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36522	The provider performs extracorporeal photopheresis, a medical procedure in which a patient's white blood cells are exposed first to a drug called 8–methoxypsoralen (8–MOP) and then to ultraviolet A…	40	$80	$3K
86078	The blood bank physician investigates a transfusion reaction, including the possible transmission of disease. She then interprets the results and provides a written report.	30	$40	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Richard Kaufman — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36522	3	10	40	$70	$5.7K
86078	2	10	10	$40	$850

Richard Kaufman — Billing Profile & Reimbursement Data

Sign up for Richard Kaufman — Billing Profile & Reimbursement Data policy alerts

Richard Kaufman — Billing Profile & Reimbursement Data

Sign up for Richard Kaufman — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References