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

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

The Philip Israel Breast Center, P.C. (NPI 1942310917)

Field	Value
Entity Type	Organization
Organization	The Philip Israel Breast Center, P.C.
Address	702 Canton Rd Ne
City	Marietta
State	GA
ZIP	30060
Taxonomy	Surgery Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$316.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	5,230	$40	$230.2K
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…	2,670	$30	$66.7K
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…	400	$40	$15K
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…	50	$60	$3.1K
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…	10	$80	$1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

The Philip Israel Breast Center, P.C. — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	239	920	370	$60	$360.6K
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…	409	820	390	$70	$245K
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…	199	310	90	$90	$136.3K
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…	215	230	100	$110	$97.1K
76642	In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.	1	20	110	$50	$34.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Philip Israel Breast Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ronald Mattison	TN	Surgery Physician	$246.6K	$0
Mary Goodwin	GA	Surgery Physician	$140.9K	$0
Paulomi Shroff	GA	Surgery Physician	$105.2K	$0

Nearby Providers

Other providers in the same ZIP code as The Philip Israel Breast Center, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quantum Radiology, PC	GA	Diagnostic Radiology Physician	$0	$4.3M
Robert Stoltz	GA	Specialist	$2.6M	$0
Weijian Zhu	GA	Anatomic Pathology & Clinical Pathology Physician	$2.6M	$4.7K
Marietta Eye Clinic, PA	GA	Ophthalmologic Surgery Clinic/Center	$2.5M	$0
Jeffrey Winter	GA	Vascular Surgery Physician	$2.4M	$0
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Kennestone Hospital, Inc.	GA	General Acute Care Hospital	$0	$1.9M
Lakshmana Kooragayala	GA	Ophthalmology Physician	$1.8M	$0
Kevin Thomas	GA	Dermatopathology (Pathology) Physician	$1.6M	$0
Mark Chastain	GA	Dermatology Physician	$1.6M	$0

The Philip Israel Breast Center, P.C. — Billing Profile & Reimbursement Data

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The Philip Israel Breast Center, P.C. — Billing Profile & Reimbursement Data

Sign up for The Philip Israel Breast Center, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References