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.

Excelcare Medical Associates, PA (NPI 1992736300)

Excelcare Medical Associates, PA is a internal medicine physician provider located in Teaneck, New Jersey. This profile covers 0 Medicare and 175 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Excelcare Medical Associates, PA
Address	718 Teaneck Rd
City	Teaneck
State	NJ
ZIP	07666
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$10M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

175 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	112,350	$30	$3.5M
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…	109,080	$30	$3.1M
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	6,770	$50	$331.6K
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…	5,390	$50	$247.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	23,700	$10	$237K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3,860	$50	$177.5K
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…	3,960	$40	$174.4K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	8,880	$20	$168.7K
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,…	5,940	$30	$154.5K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	7,020	$20	$126.3K

Showing 1–10 of 175

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Excelcare Medical Associates, PA — 13 of 25 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. New Jersey median

175 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	158	330	650	$200	$465.1K
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…	25	4,450	740	$40	$229.8K
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…	11	3,790	580	$60	$204K
93325	The provider performs Doppler echocardiography, a diagnostic procedure based on the Doppler effect of sound, color flow velocity mapping, a two–dimensional image representation of blood flow in the…	26	50	200	$110	$178K
76817	The provider performs an ultrasound of the pregnant uterus to examine the fetus and the mother's organs using a transvaginal approach.	131	180	510	$80	$162.3K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	91	260	660	$90	$136.8K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	7	20	70	$1,610	$130.6K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	176	550	500	$60	$105.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	27	1,020	550	$30	$105.3K
59425	This service is considered a mini global code for the provider who provides only four to six of the patient’s antepartum visits. This can happen when the patient transfers out of the practice prior…	21	50	460	$80	$104.5K

Showing 1–10 of 175

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holy Name Medical Center Inc.	NJ	General Acute Care Hospital	$0	$107.1M
Awca Home Care Agency, Inc.	NJ	Home Health Agency	$0	$25.2M
Care-4-me,llc	NJ	Home Health Agency	$0	$18.1M
Friendly Urgent Care, LLC	NJ	Urgent Care Clinic/Center	$0	$8.6M
New Jersey Laser Dentistry	NJ	Dental Clinic/Center	$0	$8.5M
Vincent Ho	NJ	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Holy Name Ems	NJ	Land Ambulance	$1.3M	$919K
Tamara Lenis	NJ	Ophthalmology Physician	$1.7M	$0
Neil Gonter	NJ	Rheumatology Physician	$1.6M	$0
Luis Gonzalez Gonzalez	NJ	Ophthalmology Physician	$1.5M	$0

Excelcare Medical Associates, PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kimberly Miletti	NJ	Gerontology Nurse Practitioner	$444.6K	$0
Chang Lee	NJ	Internal Medicine Physician	$413.6K	$0
Gilberto Gastell	NJ	Internal Medicine Physician	$331.1K	$0
Michelle Reisner	NJ	Internal Medicine Physician	$244.6K	$0
Richard Gallo	NJ	Internal Medicine Physician	$230.5K	$0
Michael Schwarz	NJ	Specialist	$208.3K	$0
Chester Lee	NJ	Urology Physician	$175.5K	$0
Nilesh Shukla	NJ	Gastroenterology Physician	$165.6K	$0
Deborah Lozito	NJ	Internal Medicine Physician	$146.8K	$0
Ruth Adelman	NJ	Acute Care Nurse Practitioner	$139.5K	$0