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

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

Irving Restituyo (NPI 1093876906)

Field	Value
Entity Type	Individual
Organization	Irving Restituyo
Address	726 County St
City	New Bedford
State	MA
ZIP	02740
Taxonomy	Geriatric Medicine (Internal Medicine) Physician
NPI Enumerated	December 13, 2006

Payer Source	Total Paid
Medicare	$323.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,570	$80	$212.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	300	$150	$43.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	740	$60	$43.1K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	140	$60	$8K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	70	$110	$7.3K
91320	This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.	30	$130	$4.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	60	$30	$1.8K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	30	$50	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Irving Restituyo — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	11	840	300	$80	$37.8K
91320	414	640	80	$130	$25.1K
99308	111	750	170	$50	$20.5K
99306	37	370	80	$140	$17.9K
99305	99	240	50	$100	$10.2K
90480	815	1,130	160	$40	$9.4K
99497	79	690	40	$70	$4.1K
99307	114	240	50	$30	$3.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steward St. Annes Hospital Corporation	MA	General Acute Care Hospital	$0	$82.8M
Steward Medical Group, Inc	MA	Specialist	$0	$50.2M
Steward Medical Group, Inc	MA	Internal Medicine Physician	$0	$34.5M
Hooman Saberinia	VA	Internal Medicine Physician	$9.6M	$0
Steward Medical Group, Inc	MA	Specialist	$0	$8.4M
Steward Medical Group Inc.	OH	Internal Medicine Physician	$0	$8.2M
Hadi Shalhoub	FL	Vascular Surgery Physician	$1.7M	$0
Lisa Haut	CT	Family Nurse Practitioner	$0	$1.6M
David Stoll	RI	Hematology & Oncology Physician	$22.4K	$1.4M
Joseph Alessandro	CT	Hospice and Palliative Medicine (Family Medicine) Physician	$38.1K	$1.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$226M
Southcoast Hospitals Group, Inc	MA	General Acute Care Hospital	$0	$172.9M
Child & Family Services, Inc.	MA	Mental Health Counselor	$0	$169.5M
High Point Treatment Center Inc.	MA	Counselor	$516K	$98.4M
Greater New Bedford Community Health Center, Inc.	MA	Community Health Clinic/Center	$0	$42.5M
Boston Neurobehavioral Associates, LLC	MA	Psychiatry Physician	$0	$17.1M
City Of New Bedford	MA	Land Ambulance	$1.7M	$11.7M
Shokoohi & Vakili LLC	MA	Pediatric Dentistry	$0	$12M
Anchor Medical Group And Wellness Center PC	MA	Addiction Medicine (Internal Medicine) Physician	$0	$10.6M
Commonwealth Of Massachusetts-dmh	MA	Case Management Agency	$0	$9.4M

Irving Restituyo — 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