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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Philip Oro (NPI 1073993549)

Field	Value
Entity Type	Individual
Organization	Philip Oro
Address	86 Mdg, Unit 3215, Bldg 2114
City	Apo
State	XX (Unspecified Location)
ZIP	09094
Taxonomy	Family Medicine Physician
NPI Enumerated	June 1, 2015

Payer Source	Total Paid
Medicare	$3.2K
Medicaid	$0

Key Findings

This provider reports a very small Medicare billing footprint with total Medicare revenue of $3.2K and no Medicaid billing on file; clinically and financially the practice is effectively single-payer (Medicare-only) in the available data. The absence of any Medicaid claims means state-Medicaid comparisons are not possible for this NPI.

The NPI was enumerated on 2015-06-01 (~11 years ago), indicating the provider has been active in federal enrollment records for roughly eleven years, which provides a multi-year administrative tenure to contextualize the low current billing volume.

Service-line implications from the top codes indicate an office-based primary care focus: the listed taxonomy is Family Medicine Physician and the top codes are 99214 and 99215, both evaluation-and-management visits for established patients at moderate-to-high complexity. This combination of taxonomy and code mix suggests the provider’s Medicare activity is concentrated in in-person outpatient E/M encounters rather than procedure-driven specialties.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, and the two enumerated codes alone—99214 (62.0%) and 99215 (38.0%)—are the exclusive drivers of reported Medicare income. This concentration implies limited diversification across CPT/HCPCS codes in the Medicare dataset.

At the code-level, reported volumes and payments are modest: 99214 shows 34 claims at $58 avg paid/claim generating $2K revenue, while 99215 shows 17 claims at $71 avg paid/claim generating $1.2K revenue. Both codes therefore represent the entirety of the $3.2K Medicare revenue and reflect limited claim counts that will magnify year-to-year variability.

Competitive standing versus national peers is modest: 99214 ranks #382002 of 479517 providers nationally (20th percentile) and 99215 ranks #118326 of 145531 providers nationally (16th percentile), with both entries described as "typical, unremarkable volume for this code." These percentiles place the provider well below national high-volume peers and consistent with a small-scale Medicare contributor.

Given the low absolute revenue and concentrated E/M code mix, operational interpretations should be cautious: the pattern may reflect a limited Medicare patient panel, part-time clinical effort, or intermittent billing rather than a broad primary-care practice with high Medicare penetration. Small sample size in claims means benchmarking and trend analysis will be noisy and sensitive to a few encounters.

For payer/provider analysts, the key takeaways are clear: the practice is a low-revenue, Medicare-focused family medicine billing profile dominated entirely by established patient E/M visits (99214 and 99215), with no Medicaid activity to inform dual-payer comparisons and limited scale for robust peer benchmarking.

Medicare: Complete Services Breakdown

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

2 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…	30	$60	$2K
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	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Philip Oro — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	9	10	80	$90	$15.8K
99215	4	10	60	$110	$13.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maria Villavert	CO	Family Medicine Physician	$36.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michelle Wild	AE (Armed Forces Europe)	Pediatric Dentistry	$0	$138.4K
Alexis Weinrich	AE (Armed Forces Europe)	Physician Assistant	$23.7K	$0
Traci Sickich	AE (Armed Forces Europe)	Nurse Practitioner	$19.4K	$0
Jean Butts	AE (Armed Forces Europe)	Physical Therapist	$7.9K	$0
Eunice Kim	AE (Armed Forces Europe)	Psychiatric/Mental Health Nurse Practitioner	$560	$0
Ibrahim Sadek	AE (Armed Forces Europe)	Preventive Medicine/Occupational Environmental Medicine Physician	$0	$460

Philip Oro — Billing Profile & Reimbursement Data

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Philip Oro — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References