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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Erole Mclean (NPI 1851340723)

Field	Value
Entity Type	Individual
Organization	Erole Mclean
Address	9150 Estate Thomas
City	St Thomas
State	XX (Unspecified Location)
ZIP	00802
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 9, 2006

Payer Source	Total Paid
Medicare	$23.2K
Medicaid	$0

Key Findings

ERole McLean is enumerated as a Hematology & Oncology Physician with NPI registration dated 2006-05-09 (~20 years ago) and reports total Medicare revenue of $23.2K and total Medicaid revenue of none (no Medicaid billing on file). This payment mix makes the provider effectively Medicare-only in the available claims dataset, which has direct implications for payer contracting and patient mix analysis.

Revenue is highly concentrated in office E&M visits: the top three Medicare codes (99214, 99213, 99205) together account for 87.7% of this provider's total Medicare revenue. Within that group, 99214 generates $14.1K (60.7% of Medicare revenue), 99213 generates $4.6K (19.9%), and 99205 generates $1.6K (7.1%), so a small set of visit codes drives nearly all reported Medicare income.

The code mix and claim counts indicate an office-based outpatient practice focused on established-patient management and routine monitoring rather than high-volume procedural treatment. The top codes are E&M visits (99214: 150 claims, $94 avg paid/claim; 99213: 89 claims, $52 avg paid/claim) and basic lab services (36415: 200 claims, $8 avg paid/claim; 85025: 158 claims, $8 avg paid/claim), consistent with follow-up care and serial blood monitoring typical in hematology/oncology clinics.

Competitive standing on the Medicare side is modest: 99214 ranks #191341 of 479517 nationally (60th percentile; typical, unremarkable volume for this code) and 99213 ranks #202956 of 457151 (55th percentile; typical, unremarkable volume for this code). The newer high-complexity visit 99205 ranks #55822 of 66257 (11th percentile; typical, unremarkable volume for this code), indicating relatively low national volume for high-complexity new patient encounters despite being one of the top revenue drivers locally.

Payment-per-claim patterns reinforce the operational profile: higher per-claim payments appear for higher-complexity visits (99205 at $126 avg paid/claim) but those visits are infrequent (13 claims), while the bulk of encounters are mid-complexity established-patient visits (99214 at $94 avg paid/claim). Routine diagnostics yield low per-claim payments (36415 and 85025 both $8 avg paid/claim) but contribute meaningfully through frequency rather than unit price.

The absence of chemotherapy, infusion, or other procedure/infusion codes in the top-billed Medicare CPT/HCPCS list suggests either these services are not billed to Medicare by this provider or they occur at low volume relative to office visits and lab monitoring. Given the Hematology & Oncology taxonomy, this absence is notable and should prompt reviewers to check alternate billing arrangements (facility billing, affiliates, or non-Medicare payers) before concluding on the full scope of therapeutic services provided.

The provider’s claim volumes show a caseload skewed toward established-patient follow-up: 150 claims for 99214 versus 89 claims for 99213 and only 13 claims for new, high-complexity visits (99205). This pattern suggests a practice management model emphasizing ongoing outpatient management and monitoring of existing patients rather than onboarding many new Medicare patients.

From a scale perspective, total reported Medicare revenue of $23.2K is modest for a specialty practice, and with no Medicaid billing on file the provider presents as a small Medicare-facing operation. The 20-year NPI tenure combined with low Medicare revenue implies either a limited Medicare panel, significant non-Medicare business, or billing routed through other entities; analysts should consider these possibilities when benchmarking against peers.

Medicare: Complete Services Breakdown

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

5 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…	150	$90	$14.1K
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…	90	$50	$4.6K
99205	The provider sees a new 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 provider…	10	$130	$1.6K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	200	$10	$1.6K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	160	$10	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Erole Mclean — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	42	10	140	$60	$18.8K
99214	30	10	80	$90	$15.8K
85025	5	10	820	$10	$6.2K
36415	7	10	230	$10	$5.5K
99205	14	0	N/A	$N/A	$N/A

Related Providers

Other providers that share a Tax Identification Number (TIN) with Erole Mclean, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vi Government Hospital And Health Facilities Corp	VI	General Acute Care Hospital	$0	$23.6M
Mahdi Taha	FL	Medical Oncology Physician	$2.1M	$0
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Delgiacco Medical	VI	Hematology & Oncology Physician	$0	$386.5K
Elizabeth Delgiacco	VI	Hematology & Oncology Physician	$261.5K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Leslie Kingslow	DC	Pulmonary Disease Physician	$176.8K	$0
James Gasho	MD	Orthopaedic Surgery Physician	$172.1K	$0
Reva Richardson	VI	Internal Medicine Physician	$154.4K	$0
James Nelson	VI	Neurology Physician	$143.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duanne Jones	VI	Public Health Dentistry	$0	$33.2M
The St Thomas East End Medical Center Corporation	VI	Federal Public Health Clinic/Center	$0	$12.8M
Aac-air Ambulance Caribbean Inc.	VI	Air Ambulance	$2M	$8.6M
Vi Relocation Services And Rentals LLC	VI	Land Ambulance	$0	$6.8M
Alicia Prentice	VI	Home Health Aide	$0	$3.9M
Stretcher Plus, LLC	VI	Non-emergency Medical Transport (VAN)	$0	$2.8M
Cog Restore, LLC	VI	Rehabilitation Clinic/Center	$0	$2.1M
Dept Of Health, Govt Of Vi Ems St Thomas	VI	Land Ambulance	$0	$1.5M
Vi Oral Surgery, Inc	VI	Oral and Maxillofacial Surgery (Dentist)	$0	$1.4M
Department Of Health	VI	Ambulatory Family Planning Facility	$0	$1.3M

Erole Mclean — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References