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.

Philip Klein (NPI 1952393522)

Field	Value
Entity Type	Individual
Organization	Philip Klein
Address	215 North Ave W
City	Westfield
State	NJ
ZIP	07090
Taxonomy	Nephrology Physician
NPI Enumerated	August 18, 2005

Payer Source	Total Paid
Medicare	$160.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	470	$100	$46.1K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	90	$300	$27.8K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	70	$250	$18.4K
J0885	Injection, epoetin alfa, (for non-esrd use), 1000 units	2,260	$10	$13.6K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	80	$170	$13.2K
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…	80	$140	$11.2K
90970	The provider manages for less than one full month all the daily services associated with the dialysis care of a patient who is 20 years old or older and has a condition known as end stage renal…	860	$10	$6.9K
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…	70	$70	$4.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	540	$10	$4.3K
99205	The provider sees a new 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 provider…	20	$170	$3.3K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Philip Klein — 0 of 18 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

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	164	240	160	$300	$52.2K
J0885	45	70	3,900	$10	$28.8K
85025	471	750	120	$10	$24.2K
99214	2,219	13,640	130	$90	$23.6K
99233	3,499	4,270	110	$100	$22.5K
99232	4,083	6,220	120	$70	$18.4K
90961	48	200	40	$250	$13.3K
99213	12,290	14,090	100	$70	$13.1K
99215	1,071	3,750	40	$140	$12K
99223	3,950	4,980	50	$140	$11.8K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephen Daurio	NJ	Clinical Psychologist	$163.7K	$3.5M
Sabatino Ciatti	NJ	MOHS-Micrographic Surgery Physician	$2M	$0
County Of Union	NJ	Land Ambulance	$519.8K	$537.5K
Peter Weigel	NJ	Internal Medicine Physician	$1M	$0
David Bullek	NJ	Orthopaedic Surgery Physician	$467.1K	$0
Alan Kalischer	NJ	Cardiovascular Disease Physician	$369K	$0
Clifford Sales	NJ	Vascular Surgery Physician	$245.9K	$0
Jason Sedgwick	NJ	Foot & Ankle Surgery Podiatrist	$230.9K	$0
Christian Ellison	NJ	Family Medicine Physician	$196.6K	$0
Scott Sundick	NJ	Vascular Surgery Physician	$190.1K	$0

Philip Klein — Billing Profile & Reimbursement Data

Sign up for Philip Klein — Billing Profile & Reimbursement Data policy alerts

Philip Klein — Billing Profile & Reimbursement Data

Sign up for Philip Klein — 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