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.

Fernando Secin (NPI 1104425545)

Key Findings

Field	Value
Entity Type	Individual
Organization	Fernando Secin
Address	Laprida
City	Buenos Aires
State	XX (Unspecified Location)
ZIP	1011A
Taxonomy	Urology Physician
NPI Enumerated	October 17, 2020

Payer Source	Total Paid
Medicare	$45.3K
Medicaid	$0

FERNANDO SECIN is enumerated as an individual urology physician in BUENOS AIRES with an NPI registered on 2020-10-17 (~6 years ago). Lifetime Medicare revenue on file is $45.3K, and there is no Medicaid billing on file, indicating the provider’s public-payer activity is effectively single-payer Medicare at present.

Revenue is highly concentrated in a small set of services: the top 3 Medicare codes (99214, 99204, 52601) account for 77.7% of this provider’s total Medicare revenue. Those codes individually account for $19.5K (42.9%), $8.5K (18.8%), and $7.2K (16.0%) of Medicare revenue, respectively, signaling that a few high-volume/high-value services drive most billing.

The code mix indicates a blended practice model that combines routine office-based evaluation and management with procedural urology. The two highest-revenue codes are E/M visits (99214 at $69 avg paid/claim and 99204 at $87 avg paid/claim), while 52601 (TURP) at $557 avg paid/claim shows periodic operative work; the presence of cystoscopy (52000) and urodynamic codes (51728, 51797) further reflects diagnostic and functional testing typical of a full-spectrum urology practice.

This provider is effectively single-payer from a claims perspective: Medicare revenue is $45.3K versus no Medicaid billing on file. That payer mix suggests limited exposure to state Medicaid populations and that strategic network or contracting decisions will need to focus on Medicare-linked referral streams rather than Medicaid-based volume.

Competitive standing by code is modest and generally labeled “typical, unremarkable volume.” 99214 ranks #107737 of 479517 providers nationally (77th percentile; typical, unremarkable volume for this code), and 99204 ranks #27252 of 227068 providers nationally (88th percentile; typical, unremarkable volume for this code), indicating reasonable relative activity for office visits; by contrast, 52601 ranks #708 of 1140 providers nationally (26th percentile; typical, unremarkable volume for this code), which places the provider toward the lower end of national TURP procedural volume.

Although procedural claims like 52601 are fewer in count (13 claims) they carry substantially higher per-claim payments ($557 avg paid/claim) than the E/M codes (99214 $69 avg, 99204 $87 avg), so surgical episodes materially affect revenue composition despite lower frequency. This pattern — higher per-claim procedural reimbursement combined with dominant E/M visit volume — is consistent with a clinician who performs intermittent surgery but relies mainly on clinic-based care for revenue.

Secondary procedure and diagnostic codes support the interpretation of a practice that supplements office visits with diagnostic workups: 52000 (50 claims, $50 avg paid/claim, $2.5K revenue, 5.5% of Medicare revenue) ranks #5692 of 8548 providers nationally (33th percentile; typical, unremarkable volume) and urodynamic codes 51728 and 51797 both appear with modest revenue shares. These entries point to routine use of cystoscopy and urodynamics as part of the clinical workflow rather than high-volume procedural specialization.

Given the NPI tenure (~6 years) and total Medicare revenue of $45.3K, the overall scale of Medicare activity is small relative to many national peers. Combined with the consistent “typical, unremarkable volume” labels across the top E/M and procedural codes, the dataset portrays a modestly sized urology practice with focused Medicare activity rather than a large regional or national revenue driver.

Medicare: Complete Services Breakdown

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

10 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…	280	$70	$19.5K
99204	The provider sees a new 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 provider…	100	$90	$8.5K
52601	During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…	10	$560	$7.2K
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…	70	$50	$3.1K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	50	$50	$2.5K
51728	In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…	30	$70	$1.8K
55700	Code deleted December 31, 2025.	10	$100	$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…	20	$50	$830
51797	Voiding pressure (sometimes referred to as leak point pressure) measures contractions of the detrusor muscle and can detect a pressure obstruction if the patient is able to void, or express, urine.	30	$30	$680
51741	Uroflowmetry (UFR) is the process of measuring how much liquid the patient excretes from the bladder. It is measured in cubic centimeters per second. The rate is the ratio of volume over time.	40	$1	$140

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	5	10	140	$60	$18.8K
99214	2	10	80	$90	$15.8K
99203	3	10	140	$90	$12.2K
99204	2	10	20	$120	$2.8K
51728	1	0	N/A	$N/A	$N/A
51741	1	0	N/A	$N/A	$N/A
51797	1	0	N/A	$N/A	$N/A
52000	2	0	N/A	$N/A	$N/A
52601	1	0	N/A	$N/A	$N/A
55700	2	0	N/A	$N/A	$N/A

Fernando Secin — 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

Frequently Asked Questions

References