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.

Henry Raroque (NPI 1023077567)

Field	Value
Entity Type	Individual
Organization	Henry Raroque
Address	1215 Kinwest Pkwy
City	Irving
State	TX
ZIP	75063
Taxonomy	Neurology Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicare	$139.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	390	$130	$49.8K
95813	An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…	120	$340	$39.2K
99205	The provider sees a new 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 provider…	120	$140	$16.6K
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…	170	$70	$11.6K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	160	$70	$11.2K
95720	A physician or other QHCP reviews recorded events and analyzes spike and seizure detection of a continuous electroencephalography, a study of the electrical activity of the brain. A video is…	60	$160	$9.6K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Henry Raroque — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	12,452	32,500	110	$80	$17.6K
95810	239	250	40	$240	$13.2K
95813	6	50	30	$200	$11.6K
95720	49	100	50	$160	$11.5K
99215	206	8,730	40	$120	$9.2K
99205	132	4,320	30	$150	$5.5K
95806	9	120	40	$50	$2.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Clinical Laboratories Inc	TX	Clinical Medical Laboratory	$46.7M	$276.8M
Accredo Health Group Inc	TX	Pharmacy	$0	$27.7M
Andrew Lee	TX	Radiation Oncology Physician	$2.2M	$0
Jared Sturgeon	TX	Radiation Oncology Physician	$2.1M	$0
Firstox Laboratories, LLC	TX	Clinical Medical Laboratory	$241K	$1.3M
Victor Mangona	TX	Radiation Oncology Physician	$1.6M	$0
Carenexa, LLC	TX	Clinical Medical Laboratory	$1.1M	$15K
David Hull	TX	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$10.1K
Biostat Imaging	TX	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$852.9K	$179.1K
Daniel Suez	TX	Allergy & Immunology Physician	$697.4K	$0

Henry Raroque — Billing Profile & Reimbursement Data

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Henry Raroque — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References