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.

Jules Plafker (NPI 1982647780)

Field	Value
Entity Type	Individual
Organization	Jules Plafker
Address	201 Lyons Ave
City	Newark
State	NJ
ZIP	07112
Taxonomy	Anatomic Pathology & Clinical Pathology Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$470
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
86077	The lab analyst performs a cross match of a specimen that requires interpretation and a written report from the blood bank physician due to a difficult cross match, evaluation of irregular…	10	$40	$470

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Jules Plafker — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
86077	4	10	20	$40	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physician Associates Of New Jersey Inc	NJ	Surgery Physician	$0	$41.8M
University Physician Associates Of New Jersey Inc	NJ	Internal Medicine Physician	$0	$36.6M
University Physician Associates Of New Jersey Inc	NJ	Pediatrics Physician	$0	$34.1M
University Physician Associates Of New Jersey Inc	NJ	Diagnostic Radiology Physician	$0	$14.3M
University Physician Associates Of New Jersey Inc	NJ	Obstetrics & Gynecology Physician	$0	$10.2M
Rutgers Health-rwj Pediatric Critical Care	NJ	Emergency Medical Services (Emergency Medicine) Physician	$0	$8.1M
Rutgers Health-rwj Pediatric Critical Care	NJ	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$7.3M
Nicholas Chinskey	MO	Ophthalmology Physician	$2.5M	$0
Stacey Longo	NJ	Clinical Pathology/Laboratory Medicine Physician	$2M	$410
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newark Beth Israel Medical Center Inc	NJ	General Acute Care Hospital	$0	$380.1M
Newark Beth Israel Emergency Medical Associates LLC	NJ	Emergency Medicine Physician	$0	$7.4M
Chunguang Chen	NJ	Cardiovascular Disease Physician	$97.5K	$0
Haneen Ali	NJ	Diagnostic Radiology Physician	$75K	$12K
Sang Lee	NJ	Nuclear Imaging & Therapy Physician	$85.6K	$0
Frederick Sardari	NJ	Cardiovascular Disease Physician	$78.1K	$0
Jose Diaz Hernandez	NJ	Vascular & Interventional Radiology Physician	$77.5K	$0
Lin Wang	NJ	Student in an Organized Health Care Education/Training Program	$76.2K	$0
Gautam Visveswaran	NJ	Interventional Cardiology Physician	$41.4K	$0
Manpreet Sahota	NJ	Anesthesiology Physician	$12.8K	$0

Jules Plafker — Billing Profile & Reimbursement Data

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Jules Plafker — 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