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

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

John Bortz (NPI 1942251095)

Field	Value
Entity Type	Individual
Organization	John Bortz
Address	811 North Broadway
City	White Plains
State	NY
ZIP	10603
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 13, 2006

Payer Source	Total Paid
Medicare	$108.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	130	$110	$13.8K
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…	130	$90	$12K
68320	The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…	30	$430	$10.7K
67966	The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…	30	$340	$9.7K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$550	$8.8K
68840	This procedure is the probing of the lacrimal canaliculi with or without irrigation.	60	$140	$8.2K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	140	$60	$7.5K
15576	The provider prepares a direct or tubed pedicle skin flap with the patient’s healthy skin and tissue to cover an injury or wound on the body. The provider may or may not transfer the flap to the…	10	$510	$7.1K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	30	$210	$6.1K
67950	Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…	20	$220	$4.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

John Bortz — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67966	6	10	30	$580	$31K
31231	460	520	110	$170	$30.4K
92014	1,196	2,220	160	$100	$29.3K
15576	7	10	50	$530	$23.5K
14060	83	120	20	$600	$21.6K
67917	8	20	20	$450	$15.4K
68815	9	10	30	$360	$13.1K
67950	4	10	20	$440	$10.6K
92004	1,397	1,750	50	$110	$9.2K
68320	1	10	20	$420	$7.9K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Westchester Jewish Community Services Inc.	NY	Community/Behavioral Health Agency	$0	$33.3M
Frank Taliercio	NY	Specialist	$777.4K	$0
Robert Spano	NY	Family Nurse Practitioner	$475K	$0
Stephanie Londin	NY	Clinical Social Worker	$108.8K	$2.1K

John Bortz — Billing Profile & Reimbursement Data

Sign up for John Bortz — Billing Profile & Reimbursement Data policy alerts

John Bortz — Billing Profile & Reimbursement Data

Sign up for John Bortz — 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