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

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

Derek Boahene (NPI 1841256526)

Derek Boahene is a otolaryngology physician provider located in Baltimore, Maryland. This profile covers 12 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Derek Boahene
Address	601 N Caroline St
City	Baltimore
State	MD
ZIP	21287
Taxonomy	Otolaryngology Physician
NPI Enumerated	April 22, 2006

Payer Source	Total Paid
Medicare	$142.8K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15757	The provider creates a free skin flap using microvascular techniques. He uses a flap taken from a donor site and placed at the wound site, connecting vessels in the donor flap to vessels in the…	20	$2,080	$47.9K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	50	$500	$23.4K
14302	At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…	120	$190	$22.8K
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	90	$220	$20.8K
64868	The provider makes a surgical connection between the facial nerve and the hypoglossal nerve, which do not naturally connect. This procedure restores facial motor function after facial nerve loss from…	10	$480	$6.2K
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…	70	$70	$5K
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…	40	$110	$4.2K
64716	In this procedure, the provider relieves the pressure on a cranial nerve by incising the scar tissue or other source of pressure. He may also transpose the nerve to a nearby area so it’s in a more…	10	$240	$3.4K
64742	In this procedure, the provider transects or forcibly tears the facial nerve or any branch of the facial nerve to give relief from facial pain by diminishing the sensation.	20	$210	$3.2K
99203	The provider sees a new 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 provider…	30	$90	$2.5K

Showing 1–10 of 12

Derek Boahene — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
15757	1	10	20	$2,080	$47.9K
99214	8,291	10,270	150	$90	$24.1K
14301	7	30	30	$830	$24.1K
14302	2	10	50	$180	$15K
99213	5,507	9,280	100	$60	$12.5K
64612	21	20	40	$130	$7.3K
99204	4,654	5,380	40	$120	$7.3K
15004	2	20	20	$210	$7.1K
64868	1	10	10	$480	$6.2K
99203	2,288	3,630	40	$80	$5K