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

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

Albert Merati (NPI 1881645638)

Albert Merati is a otolaryngology physician provider located in Seattle, Washington. This profile covers 9 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	Albert Merati
Address	1959 Ne Pacific St
City	Seattle
State	WA
ZIP	98195
Taxonomy	Otolaryngology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicare	$44.6K
Medicaid	$0

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
31579	The provider uses a flexible or rigid laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. He also performs stroboscopy, which is a method of examination…	220	$90	$20.9K
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…	90	$80	$7K
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…	100	$50	$5.1K
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…	40	$110	$4.3K
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	$70	$2K
31571	The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. The provider then injects a therapeutic agent into the one or…	10	$150	$1.8K
31615	In this procedure, the provider performs tracheobronchoscopy through a tracheal opening created earlier. In tracheobronchoscopy, the provider passes a flexible tube with a camera at one end through…	20	$90	$1.6K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	30	$40	$1.1K
92612	The provider carries out an evaluation of a patient’s pharynx to determine the health of the muscles that help in swallowing. He uses a flexible endoscope and cine or video recording.	10	$60	$750

Albert Merati — 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
99214	5,595	10,860	100	$80	$13.6K
31579	2	20	120	$120	$12.4K
99213	3,325	9,690	60	$60	$6.5K
99204	1,924	4,750	30	$110	$5.2K
31575	123	180	40	$90	$4.6K
99203	1,553	3,140	30	$70	$3.3K
92612	2	10	20	$130	$2.8K
31571	2	10	20	$140	$2.3K
31615	1	10	20	$90	$1.6K