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.

Matthew Basara (NPI 1972602191)

Field	Value
Entity Type	Individual
Organization	Matthew Basara
Address	5045 Route 130
City	Delran
State	NJ
ZIP	08075
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 22, 2006

Payer Source	Total Paid
Medicare	$125.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	400	$130	$51.9K
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…	370	$80	$30.8K
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…	230	$60	$14.2K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	$170	$5.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	120	$40	$4.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	550	$10	$4.4K
G0008	Administration of influenza virus vaccine	160	$20	$3.7K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	160	$20	$3.3K
99442	N/A	50	$70	$3K
99441	N/A	60	$30	$1.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Matthew Basara — 3 of 14 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

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,028	13,640	130	$90	$23.6K
99213	3,732	14,090	100	$70	$13.1K
G0439	56	3,370	70	$120	$11.5K
36415	247	2,200	110	$10	$11.1K
69210	307	490	40	$40	$4.4K
99212	577	3,450	40	$40	$3.6K
99442	248	830	30	$60	$3.5K
G0008	680	4,290	50	$30	$3K
G0402	18	570	20	$170	$2.9K
99441	95	460	30	$40	$2.4K

Showing 1–10 of 14

Matthew Basara — Billing Profile & Reimbursement Data

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Matthew Basara — 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