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

Why is the Medicaid comparison limited to New Jersey 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 Jersey (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.

Yelena Rafaelov (NPI 1891045688)

Field	Value
Entity Type	Individual
Organization	Yelena Rafaelov
Address	105 Sarah Ct
City	Lakewood
State	NJ
ZIP	08701
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 19, 2012

Payer Source	Total Paid
Medicare	$110K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	1,210	$50	$58K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	1,030	$30	$26.6K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$130	$8.9K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	100	$90	$8.8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	60	$100	$5.5K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	50	$50	$2.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Yelena Rafaelov — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99308	167	1,430	230	$60	$29.5K
99306	339	850	50	$150	$13.3K
99305	368	750	60	$100	$10.6K
99316	31	310	40	$100	$5K
99347	2	260	40	$30	$3.6K
99342	39	150	30	$60	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ian Hersh	NJ	Foot & Ankle Surgery Podiatrist	$1M	$0
Joshua Kellerman	NJ	Diagnostic Radiology Physician	$525K	$0
Arkady Finkel	NJ	Diagnostic Radiology Physician	$296.8K	$0
Stephen Swartz	NJ	Internal Medicine Physician	$233.3K	$0
Jeannette Loman	NC	Internal Medicine Physician	$141K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Arc Ocean County Chapter, Inc	NJ	In Home Supportive Care Agency	$0	$147.4M
Monmouth Medical Center Inc	NJ	General Acute Care Hospital	$0	$60.1M
Lakewood Resource And Referral Center Inc	NJ	Federally Qualified Health Center (FQHC)	$0	$46.8M
Lakewood Board Of Education	NJ	Local Education Agency (LEA)	$0	$43.9M
Teamcare LLC	NJ	In Home Supportive Care Agency	$0	$38.8M
I.m.e.m. Clinical Associates LLC	NJ	Specialist	$0	$27.8M
Eviancare LLC	NJ	In Home Supportive Care Agency	$0	$23.4M
Nj Dentistry For Children, P.A.	NJ	Pediatric Dentistry	$0	$21.9M
The Special Children Center	NJ	Developmentally Disabled Services Day Training Agency	$0	$17.4M
Precious Health Of Lakewood, PC	NJ	Pediatrics Physician	$0	$15.6M

Yelena Rafaelov — Billing Profile & Reimbursement Data

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Yelena Rafaelov — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References