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.

Dori Middleman (NPI 1992808927)

Field	Value
Entity Type	Individual
Organization	Dori Middleman
Address	300 E Lancaster Ave
City	Wynnewood
State	PA
ZIP	19096
Taxonomy	Psychiatry Physician
NPI Enumerated	September 6, 2006

Payer Source	Total Paid
Medicare	$108.7K
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
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…	400	$100	$41.1K
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…	370	$70	$26.4K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	330	$60	$17.9K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	120	$70	$8.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	50	$160	$7.5K
99441	N/A	340	$20	$7.2K

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

Dori Middleman — 1 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
99214	2,724	23,230	100	$80	$14.5K
90836	35	70	120	$70	$13.2K
99213	1,697	22,370	70	$60	$7.7K
90833	20	220	80	$50	$6.7K
90792	71	360	20	$130	$5.5K
99441	2	460	20	$30	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Resources For Human Development, Inc.	PA	Community/Behavioral Health Agency	$0	$30.7M
Resources For Human Development	LA	Community/Behavioral Health Agency	$0	$28.2M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$13.3M
Family Practice & Counseling Services Network, Inc.	PA	Federally Qualified Health Center (FQHC)	$0	$12.5M
Resources For Human Development, Inc.	PA	Case Management Agency	$0	$7.1M
Resources For Human Development, Inc.	PA	Methadone Clinic	$154.7K	$3.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Main Line Hospitals, Inc.	PA	General Acute Care Hospital	$0	$17.2M
Red Lion Home Care	PA	Home Health Agency	$0	$17.2M
Amber Sobuto	PA	Internal Medicine Physician	$1.2M	$0
Matthew Halpern	PA	Dermatology Physician	$1.2M	$0
Gary Gordon	PA	Rheumatology Physician	$873.9K	$0
Tanya Harari	PA	Rheumatology Physician	$659.8K	$0
Thomas Harder	PA	Rheumatology Physician	$603.7K	$0
Amanulla Khaji	PA	Hospitalist Physician	$528.3K	$4.6K
Stephen Gollomp	PA	Neurology Physician	$465.4K	$0
George Martin	PA	Allergy & Immunology Physician	$456.5K	$0

Dori Middleman — Billing Profile & Reimbursement Data

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Dori Middleman — 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