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

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

Matthew Folstein (NPI 1952536674)

Field	Value
Entity Type	Individual
Organization	Matthew Folstein
Address	10231 Old Ocean City Blvd Ste 207
City	Berlin
State	MD
ZIP	21811
Taxonomy	Surgery Physician
NPI Enumerated	May 26, 2009

Payer Source	Total Paid
Medicare	$32.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
47563	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…	20	$500	$11K
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…	60	$110	$5.8K
49505	The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.	10	$420	$4.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$90	$2.8K
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…	40	$60	$2.6K
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…	30	$90	$2.5K
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…	40	$60	$2.2K
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…	20	$60	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Matthew Folstein — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	8,930	10,270	150	$90	$24.1K
99213	9,697	9,280	100	$60	$12.5K
49505	19	30	20	$540	$12.5K
99232	2,819	3,350	80	$60	$11.1K
47563	2	10	20	$470	$8.5K
99204	1,268	5,380	40	$120	$7.3K
99203	1,512	3,630	40	$80	$5K
99222	1,210	2,260	30	$100	$4.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Matthew Folstein, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension Se Wisconsin Hospital, Inc	WI	General Acute Care Hospital	$0	$94.4M
Saint Joseph Regional Medical Center-south Bend Campus, Inc.	IN	General Acute Care Hospital	$0	$18.7M
Saint Joseph Regional Medical Center, Inc.	IN	Family Medicine Physician	$0	$10.7M
Saint Joseph Regional Medical Center- Plymouth Campus Inc	IN	General Acute Care Hospital	$0	$6.5M
Saint Joseph Regional Medical Center, Inc.	IN	Pulmonary Disease Physician	$0	$5.5M
Saint Joseph Regional Medical Center-south Bend Campus, Inc.	IN	Family Medicine Physician	$0	$4.8M
Zulfiqar Mirza	IN	Cardiovascular Disease Physician	$392.2K	$0
Douglas Liepert	IN	Sleep Medicine (Otolaryngology) Physician	$392K	$0
Hunter Nolen	MO	Urology Physician	$359.5K	$0
Eric Kim	CA	Neurology Physician	$300.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic General Hospital Corporation	MD	Family Medicine Physician	$0	$5.4M
Rabindra Paul	MD	Infectious Disease Physician	$2.1M	$0
John Mansueti	MD	Radiation Oncology Physician	$960.8K	$0
Raymond Clifford	MD	Ophthalmology Physician	$893.6K	$0
Jessco LLC	MD	Ambulatory Surgical Clinic/Center	$886K	$0
Manoj Jain	MD	Radiation Oncology Physician	$695.5K	$0
David Wanalista	MD	Rheumatology Physician	$584.4K	$0
Wadid Zaky Salama	MD	Pain Medicine (Anesthesiology) Physician	$359.2K	$0
Christopher Galuardi	MD	Interventional Pain Medicine Physician	$320K	$0
Pennie Savage	MD	Family Nurse Practitioner	$261.3K	$0

Matthew Folstein — Billing Profile & Reimbursement Data

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Matthew Folstein — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References