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

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

Ruston Sanchez (NPI 1043639495)

Field	Value
Entity Type	Individual
Organization	Ruston Sanchez
Address	6717 Perkins Rd
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	Plastic Surgery Physician
NPI Enumerated	April 14, 2014

Payer Source	Total Paid
Medicare	$6.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
13160	This procedure is performed on sites of injury such as abdominal wounds and/or contaminated lacerations to avoid infection and re–epithelialize new tissue.	10	$440	$4.9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$60	$1K
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…	10	$80	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Ruston Sanchez — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13160	2	10	20	$560	$9.5K
99203	1,783	2,100	30	$70	$3K
99221	140	220	20	$60	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Lourdes Physician Group LLC	LA	Family Medicine Physician	$0	$7.9M
Our Lady Of The Lake Physician Group LLC	LA	Family Medicine Physician	$0	$4.6M
Gerald Miletello	LA	Medical Oncology Physician	$1.3M	$0
Bryan Bienvenu	LA	Hematology & Oncology Physician	$964.2K	$0
Christopher Mccanless	LA	Hematology & Oncology Physician	$405.8K	$0
James Morris	LA	Urology Physician	$359.3K	$430
Pavani Ellipeddi	LA	Medical Oncology Physician	$316.8K	$0
Denzil Moraes	LA	Interventional Cardiology Physician	$268.6K	$0
Thomas Lemay	MS	Interventional Cardiology Physician	$248.5K	$0

Ruston Sanchez — Billing Profile & Reimbursement Data

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Ruston Sanchez — 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

Frequently Asked Questions

References