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.

Mark Drakos (NPI 1962613661)

Mark Drakos is a orthopaedic surgery physician provider located in New York, New York. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Mark Drakos
Address	535 East 70th Street
City	New York
State	NY
ZIP	10021
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicare	$116.4K
Medicaid	$0

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

19 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…	370	$80	$29.3K
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…	310	$90	$29.2K
27690	The provider performs a single tendon transfer or transplant, such as transferring the anterior tibial tendon extensors into the midfoot. He performs the procedure to restore function lost due to…	20	$550	$10K
27650	In this procedure, the provider performs primary open or percutaneous repair of an Achilles tendon tear. Primary repair is one when the provider repairs the torn tendon within a few days of the tear.	20	$580	$9.2K
28285	The provider repairs a hammertoe deformity, a painful condition in which the toe remains permanently bent in a downward position.	50	$190	$8.8K
28313	In this procedure, the provider surgically corrects an angular deformity of the toe, like curly toes, by releasing the tight soft tissues and by transferring the muscle tendons.	40	$160	$6.4K
28289	In this procedure, the provider surgically corrects a hallux rigidus deformity without the need for an implant. Hallux rigidus is pain and stiffness due to arthritis, or inflammation in the…	10	$370	$4.9K
28308	The provider performs an osteotomy of any metatarsal bone other than the first. He may or may not lengthen, shorten, or correct an angular deformity of the metatarsal. He performs the procedure to…	30	$180	$4.7K
28310	In this procedure, the provider performs an osteotomy, cutting a portion of the bone of the proximal phalanx in the first toe to correct alignment and deformity.	20	$170	$3.7K
28296	The provider removes bone from a bunion, a foot deformity that causes a bump near where the big toe joins the foot. The procedure includes distal metatarsal osteotomy, cutting and realigning a long…	10	$280	$3K

Showing 1–10 of 19

Mark Drakos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,741	31,440	80	$70	$12.1K
28285	2	30	30	$430	$12K
27690	1	10	20	$550	$9.9K
27650	1	10	20	$580	$9.2K
20900	5	10	20	$290	$7.9K
28308	3	10	20	$300	$7.6K
20610	1,773	1,870	60	$60	$7K
28313	1	10	40	$160	$6.3K
28296	2	10	10	$420	$5.1K
28289	1	10	10	$370	$4.9K