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.

Pricha Boonswang (NPI 1992782254)

Field	Value
Entity Type	Individual
Organization	Pricha Boonswang
Address	2358 Gruver Ave
City	Easton
State	PA
ZIP	18045
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicare	$19.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	50	$200	$8.9K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	40	$130	$4.9K
45300	In this procedure, the provider examines the inner part of the anus, rectum, and the sigmoid colon using a proctosigmoid scope, a short rigid instrument with a camera at its one end. He may also…	30	$90	$2.8K
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,…	50	$40	$1.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$50	$720
82270	The lab analyst uses a peroxidase activity method to perform a colorectal cancer screening test for the presence of hidden blood in a fecal specimen that the patient collects from three consecutive…	30	$1	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Pricha Boonswang — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
46221	19	60	40	$200	$10.8K
45378	42	390	20	$190	$4.6K
45300	9	10	40	$90	$4K
99212	1,678	4,720	30	$40	$2.3K
99202	688	1,040	20	$50	$1.5K
82270	32	70	30	$1	$200

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Hospital-anderson Campus	PA	General Acute Care Hospital	$0	$8.5M
Colonial Intermediate Unit 20	PA	Adolescent and Children Mental Health Clinic/Center	$0	$6M
Suburban Emergency Medical Services	PA	Land Ambulance	$2.1M	$3.9M
Jolanta Zelaznicka	PA	Rheumatology Physician	$1.9M	$0
Gabrielle Schoeppner	PA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Hayman Salib	PA	Hematology & Oncology Physician	$805.3K	$0
Devendra Amin	PA	Specialist	$460.6K	$0
Maria Figueras	PA	Internal Medicine Physician	$264.5K	$0
Bharat Mehta	PA	Internal Medicine Physician	$237.5K	$27K
David Andolino	PA	Radiation Oncology Physician	$175.6K	$0

Pricha Boonswang — Billing Profile & Reimbursement Data

Sign up for Pricha Boonswang — Billing Profile & Reimbursement Data policy alerts

Pricha Boonswang — Billing Profile & Reimbursement Data

Sign up for Pricha Boonswang — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References