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

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

Thomas Lipin (NPI 1962490573)

Field	Value
Entity Type	Individual
Organization	Thomas Lipin
Address	210 Jupiter Lakes Blvd
City	Jupiter
State	FL
ZIP	33458
Taxonomy	Otolaryngology Physician
NPI Enumerated	October 7, 2005

Payer Source	Total Paid
Medicare	$430K
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	1,680	$70	$110.8K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	1,050	$100	$104K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	400	$150	$59.9K
31238	In this procedure, the provider inserts an endoscope into the nasal cavity. The provider then uses bipolar cautery or other means to control bleeding.	190	$240	$45.6K
0486T	The provider uses optical coherence tomography (OCT) to examine the middle ear. This code is specific to both sides (i.e., both ears). OCT is a noninvasive imaging technique that uses light waves to…	910	$40	$34.5K
G0268	Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	1,300	$20	$27.2K
31505	The provider uses a laryngeal mirror to look inside the larynx (voice box) to detect any abnormalities. This code represents a diagnostic procedure.	470	$40	$17.9K
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	$70	$8.3K
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…	80	$100	$7.3K
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…	60	$120	$7.1K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Thomas Lipin — 6 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	20,860	32,760	140	$90	$25K
31231	60	520	90	$140	$24.5K
99213	250	30,010	80	$60	$12K
0486T	1	10	20	$40	$9.2K
31575	1	570	60	$90	$8.6K
99204	6,287	19,040	40	$110	$7K
31505	1	10	30	$50	$5.5K
31238	1	60	20	$210	$4.9K
99203	1,658	11,720	40	$70	$4.4K
92557	212	610	110	$30	$4.4K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashok Muthukrishnan	FL	Nuclear Radiology Physician	$3.9M	$129.2K
Minimal Invasive Surgery Center,llc	FL	Ambulatory Surgical Clinic/Center	$2M	$0
Orlando Cedeno	FL	Foot Surgery Podiatrist	$1.7M	$0
Access Medical Laboratories, Inc.	FL	Clinical Medical Laboratory	$338.3K	$1.1M
Augusto Villa	FL	Cardiovascular Disease Physician	$1.3M	$0
Gabriel Breuer	FL	Clinical Cardiac Electrophysiology Physician	$1.2M	$0
Bassam Sayegh	FL	Surgery Physician	$1M	$0
Gonzalo Loveday	FL	Cardiovascular Disease Physician	$937.7K	$0
Noah Weisberg	FL	Dermatology Physician	$830.6K	$0
Keith Nichols	FL	Vascular Surgery Physician	$826.1K	$0

Thomas Lipin — Billing Profile & Reimbursement Data

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Thomas Lipin — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References