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 Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Carlos Porter (NPI 1013918242)

Field	Value
Entity Type	Individual
Organization	Carlos Porter
Address	9091 Fair Oaks Pkwy Ste 301
City	Fair Oaks Ranch
State	TX
ZIP	78015
Taxonomy	Family Medicine Physician
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicare	$172.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	1,400	$40	$59K
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…	570	$70	$41.9K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	520	$30	$17.7K
99422	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	580	$20	$12.2K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	310	$30	$10.2K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	270	$30	$9.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$120	$6K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	180	$30	$5.2K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$30	$4.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$100	$1.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Carlos Porter — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99487	240	260	50	$100	$28.8K
99214	2,826	32,500	110	$80	$17.6K
99490	65	1,520	180	$40	$16.2K
99423	6	40	80	$30	$11.5K
99458	234	480	180	$30	$10.8K
G0439	3,720	7,110	60	$120	$10.6K
99091	45	60	90	$40	$10.3K
99457	184	720	150	$40	$10.1K
99215	7,353	8,730	40	$120	$9.2K
99454	165	680	130	$40	$9K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelby Perkins	TX	Physician Assistant	$13K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ana Cerean	TX	Family Nurse Practitioner	$2M	$0

Carlos Porter — Billing Profile & Reimbursement Data

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Carlos Porter — 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