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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Gerald Cotto (NPI 1104541036)

Field	Value
Entity Type	Individual
Organization	Gerald Cotto
Address	6330 Riverside Plaza Ln Nw Ste 100
City	Albuquerque
State	NM
ZIP	87120
Taxonomy	Nurse Practitioner
NPI Enumerated	October 4, 2022

Payer Source	Total Paid
Medicare	$51.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	300	$80	$24.1K
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…	160	$110	$17.1K
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	110	$80	$8.7K
99442	N/A	20	$50	$1.1K
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…	10	$50	$650

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Gerald Cotto — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	425	2,700	90	$70	$12.9K
99213	2,373	2,440	60	$50	$7.3K
99204	27	1,210	30	$100	$4.5K
93923	3	30	60	$60	$4.2K
99442	94	150	30	$50	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan K Anderson D P M P C	UT	Foot & Ankle Surgery Podiatrist	$0	$3.5M
Post Acute Rehabilitation Physicians LLC	UT	Physical Medicine & Rehabilitation Physician	$0	$1.7M
Steve Loh	CA	Physical Medicine & Rehabilitation Physician	$1.6M	$1.9K
Shawn Isaeff	UT	Vascular & Interventional Radiology Physician	$668K	$0
Ali Golshan	CA	Vascular & Interventional Radiology Physician	$634.3K	$480
Kent Hootman	NM	Diagnostic Radiology Physician	$504.4K	$0
Aaron Frodsham	UT	Vascular & Interventional Radiology Physician	$484K	$0
Steven Sambrano	NM	Medical Physician Assistant	$455.7K	$0
David Mehr	UT	Anatomic Pathology & Clinical Pathology Physician	$380.4K	$950
Beau Bigelow	IL	Physical Medicine & Rehabilitation Physician	$366.7K	$170

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Inteli-care, LLC	NM	Home Health Agency	$0	$58.2M
Expressions Of Life	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$39.7M
Providence Support Services Inc.	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.8M
Nextcare New Mexico LLC	NM	Urgent Care Clinic/Center	$0	$17M
Atencion Family Services, Inc	NM	Respite Care	$0	$16.5M
Superior Ambulance Service Inc	NM	Land Ambulance	$578.5K	$10.1M
Practical Therapy Inc.	NM	Specialist	$0	$7.7M
Legacy Healthcare Inc.	NM	Community Based Hospice Care Agency	$0	$6.9M
Armada Physical Therapy Of Albuquerque LLC	NM	Multi-Specialty Clinic/Center	$0	$6.9M
The Family Connection LLC	NM	Community/Behavioral Health Agency	$0	$6M

Gerald Cotto — Billing Profile & Reimbursement Data

Sign up for Gerald Cotto — Billing Profile & Reimbursement Data policy alerts

Gerald Cotto — Billing Profile & Reimbursement Data

Sign up for Gerald Cotto — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References