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.

Excelcare Alliance, LLC (NPI 1891090510)

Excelcare Alliance, LLC is a family medicine physician provider located in Vineland, New Jersey. This profile covers 0 Medicare and 153 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Excelcare Alliance, LLC
Address	76 S State St
City	Vineland
State	NJ
ZIP	08360
Taxonomy	Family Medicine Physician
NPI Enumerated	January 12, 2011

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

153 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100,380	$40	$4M
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…	27,560	$40	$1.2M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	39,840	$20	$677.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10,380	$40	$405K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	9,700	$40	$368.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	8,260	$40	$363.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	8,800	$40	$360.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	28,460	$10	$341.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	12,910	$20	$258.1K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	6,410	$40	$249.9K

Showing 1–10 of 153

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Excelcare Alliance, LLC — 18 of 25 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. New Jersey median

153 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90935	Hemodialysis is a procedure that involves drawing blood via an intra–arterial or intravenous catheter, then sieving it through a semi permeable membrane to remove the impurities and finally…	103	110	3,310	$130	$882K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	165	330	650	$200	$465.1K
H0033	Oral medication administration, direct observation	26	30	430	$110	$250.7K
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…	32	4,450	740	$40	$229.8K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	58	100	220	$170	$218.5K
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…	65	3,790	580	$60	$204K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	105	160	140	$170	$108.4K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	16	550	500	$60	$105.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19	1,020	550	$30	$105.3K
99215	The provider sees an established 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…	42	740	150	$100	$100.3K

Showing 1–10 of 153

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Wanalista	MD	Rheumatology Physician	$584.4K	$0
Rekha Sehgal	NJ	Family Medicine Physician	$353K	$0
Raghuraj Tomar	NJ	Internal Medicine Physician	$344.1K	$0
Wasique Narvel	NJ	Family Medicine Physician	$309.5K	$0
Vinay Nakhate	NJ	Internal Medicine Physician	$291.7K	$0
Manuel Cunanan	NJ	Pulmonary Disease Physician	$280.7K	$0
Michael Dovnarsky	NJ	Cardiovascular Disease Physician	$240.7K	$0
Rajesh Malik	NJ	Internal Medicine Physician	$135.9K	$0
Kiritkumar Parmar	NJ	Internal Medicine Physician	$118.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inspira Medical Centers, Inc.	NJ	General Acute Care Hospital	$0	$227M
Elwyn New Jersey	NJ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$206.7M
Arthritis & Rheumatology Associates Of South Jersey PC	NJ	Rheumatology Physician	$0	$53.4M
Winter Enterprises	NJ	Oral and Maxillofacial Surgery (Dentist)	$0	$17M
Comminity Programs Inc.	NJ	Adult Day Care Clinic/Center	$0	$13.7M
City Of Vineland Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.8M
Pinnacle Treatment Centers Nj Iii LLC	NJ	Methadone Clinic	$264.3K	$10.9M
Confident Care Corp	NJ	Home Health Agency	$0	$8.2M
Stephen Soloway	NJ	Rheumatology Physician	$2.7M	$0
City Of Vineland	NJ	Ambulance	$798.1K	$1.6M

Excelcare Alliance, LLC — Billing Profile & Reimbursement Data

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Excelcare Alliance, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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