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

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

Gilfred Ubina (NPI 1972564839)

Field	Value
Entity Type	Individual
Organization	Gilfred Ubina
Address	815 2nd St
City	Cresson
State	PA
ZIP	16630
Taxonomy	Hospitalist Physician
NPI Enumerated	March 30, 2006

Payer Source	Total Paid
Medicare	$121.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	830	$140	$114.1K
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…	60	$60	$3.5K
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	$100	$2.6K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	10	$70	$750
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	10	$1	$30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Gilfred Ubina — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99223	1	7,020	40	$130	$7.8K
99213	11,932	22,370	70	$60	$7.7K
99222	4,065	7,850	30	$100	$4.3K
99221	1,379	1,500	20	$60	$1.7K
81002	1,473	1,520	20	$1	$190

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line Healthcare	PA	Family Medicine Physician	$0	$8.2M
Barry Jacobson	PA	Obstetrics & Gynecology Physician	$3M	$0
Daniel Lin	PA	Family Medicine Physician	$127.1K	$2.4M
Thais Moldovan	PA	Rheumatology Physician	$1.1M	$0
Scott Massey	PA	Hospitalist Physician	$868.8K	$290
Hany Shanoudy	PA	Cardiovascular Disease Physician	$571.3K	$108.8K
Michael Larkin	PA	Cardiovascular Disease Physician	$414.1K	$192.2K
Jennifer Armstrong	PA	Medical Oncology Physician	$545.2K	$0
Amanulla Khaji	PA	Hospitalist Physician	$528.3K	$4.6K
Archana Sodagam	MD	Cardiovascular Disease Physician	$483.8K	$0

Gilfred Ubina — Billing Profile & Reimbursement Data

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Gilfred Ubina — 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

Frequently Asked Questions

References