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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Erick Soria Galvarro Duran (NPI 1093026700)

Field	Value
Entity Type	Individual
Organization	Erick Soria Galvarro Duran
Address	31 Atwood St
City	Providence
State	RI
ZIP	02909
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 28, 2010

Payer Source	Total Paid
Medicaid	$445K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,840	$40	$208K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	2,680	$30	$75K
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…	1,110	$60	$66.5K
T1015	Clinic visit/encounter, all-inclusive	240	$180	$42.1K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	230	$180	$41.4K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	50	$60	$3K
99386	The provider performs a well–patient visit for a patient who is between the ages of 40 and 64.	30	$110	$2.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	280	$10	$2.5K
99442	N/A	50	$30	$1.4K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	40	$20	$840

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Erick Soria Galvarro Duran — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	66	120	400	$130	$896.9K
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…	318	1,730	220	$70	$75.2K
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…	105	2,050	300	$50	$72.3K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	45	50	110	$60	$42K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	127	210	100	$20	$31.6K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	15	60	70	$70	$26.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	19	500	90	$50	$24.9K
99396	The provider performs an established well–patient visit for a patient who is between the ages of 40 and 64.	63	120	50	$70	$9.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	145	500	90	$10	$8.5K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	37	50	50	$20	$6.7K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Erick Soria Galvarro Duran, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$13.4M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$8.3M
Erica Knarr	RI	Dentist	$0	$3.5M
Raj Pande	RI	Dentist	$0	$2.1M
Steven Lowe	RI	Dentist	$0	$1.7M
Emily White	RI	Obstetrics & Gynecology Physician	$0	$1.6M
Beth Toolan	RI	Pediatrics Physician	$0	$1.3M
Jennifer Sunderland	RI	Advanced Practice Midwife	$0	$1.3M
Altug Koymen	RI	Obstetrics & Gynecology Physician	$0	$1.2M
Boris Skurkovich	RI	Pediatrics Physician	$0	$1.2M

Nearby Providers

Other providers in the same ZIP code as Erick Soria Galvarro Duran, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Cove Center, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$58.7M
Groden Center, Inc.	RI	Community/Behavioral Health Agency	$0	$6.6M
Easter Seals Rhode Island	RI	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$6.5M
Groden Center, Inc.	RI	Community/Behavioral Health Agency	$0	$4.4M
Groden Center, Inc.	RI	Developmentally Disabled Services Day Training Agency	$0	$3.3M
Codac Inc	RI	Methadone Clinic	$206.4K	$2.7M
Upward Health Solutions Rhode Island LLC	RI	Case Management Agency	$0	$2M
Easter Seals Rhode Island	RI	Developmentally Disabled Services Day Training Agency	$0	$1.7M
Jessica Waugh	RI	Behavior Analyst	$0	$1.6M
Lonice Thomas	RI	Pediatrics Physician	$0	$1.1M

Erick Soria Galvarro Duran — Billing Profile & Reimbursement Data

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Erick Soria Galvarro Duran — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References