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

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

Sherman Nagler (NPI 1922101310)

Field	Value
Entity Type	Individual
Organization	Sherman Nagler
Address	1200 Binz St
City	Houston
State	TX
ZIP	77004
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	September 7, 2006

Payer Source	Total Paid
Medicare	$39.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$80	$9K
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…	130	$70	$8.4K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	200	$30	$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…	30	$130	$4.3K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	30	$120	$3.6K
11420	The provider excises a noncancerous lesion, excluding a skin tag, of 0.5 cm or less in diameter, including margins, from the skin of the scalp, neck, hands, feet, or genitals.	30	$100	$2.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	60	$40	$2.4K
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…	20	$100	$1.9K
64632	Neurolysis is the destruction of the nerves that are responsible for carrying pain. This destruction includes the use of chemical, heat, or radiofrequency techniques.	20	$70	$1.1K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	20	$50	$770

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Sherman Nagler — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	29,793	32,500	110	$80	$17.6K
99213	9,644	29,790	70	$60	$8.4K
99204	7,925	16,380	30	$110	$5.6K
11420	3	10	30	$80	$3.8K
99203	925	10,820	30	$70	$3.4K
11750	93	300	20	$110	$2.9K
64632	4	10	20	$70	$2.2K
99212	1,411	5,510	30	$40	$2.2K
20550	541	680	30	$40	$1.9K
73630	205	2,030	40	$20	$1.5K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freemu Varghese	TX	Nephrology Physician	$2M	$0
Earl Mangin	TX	Cardiovascular Disease Physician	$1.7M	$0
Abhijeet Basu	TX	Cardiovascular Disease Physician	$1.4M	$0
Michael Stephen	TX	Cardiovascular Disease Physician	$1.2M	$0
David Yao	TX	Cardiovascular Disease Physician	$1.2M	$0
Stuart Solomon	TX	Cardiovascular Disease Physician	$1.1M	$0
Amir Mohsenin	TX	Ophthalmology Physician	$935.8K	$0
Oscar Rosales	TX	Interventional Cardiology Physician	$887.3K	$0
Howard Rubin	TX	Cardiovascular Disease Physician	$827K	$0
Manuel Reyes	TX	Interventional Cardiology Physician	$744.8K	$0

Sherman Nagler — Billing Profile & Reimbursement Data

Sign up for Sherman Nagler — Billing Profile & Reimbursement Data policy alerts

Sherman Nagler — Billing Profile & Reimbursement Data

Sign up for Sherman Nagler — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References