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    OpenPayerNPI Medicare & MedicaidMiguel Ariza
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    Miguel Ariza — Billing Profile & Reimbursement Data

    NPI 1104850858 · Dracut, MA · Internal Medicine Physician

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    Miguel Ariza is a internal medicine physician provider located in Dracut, Massachusetts. This profile covers 9 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMiguel Ariza
    Address9 Loon Hill Rd Ste 301
    CityDracut
    StateMA
    ZIP01826
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJuly 10, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$95K
    Medicaid$21K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…550$100$55.3K
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes430$50$19.6K
    99204The 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…50$130$6K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.40$100$4.4K
    95250In this procedure, interstitial glucose levels are measured at regular intervals via subcutaneously implanted sensors provided by physician or other qualified health care professional's office for a…30$130$4K
    95251A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…90$30$2.4K
    99443N/A20$70$1.3K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.250$1$1K
    83036Sugar 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).…100$10$950

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921497315,410110$80$15.6K
    G010833090$40$6.6K
    992042,0135,87030$120$5.6K
    994431,2931,96030$80$3.8K
    9525082030$110$3.4K
    7653621340050$40$2.4K
    830363861,42050$10$2.1K
    952517522060$30$2.1K
    829471223030$1$420

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…250$70$16.4K
    99213The 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…90$40$3.5K
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes30$30$680
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.100$1$210
    83036Sugar 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).…20$10$120
    82962Blood 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…20$1$40

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Massachusetts median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…2,3185,040200$70$209.5K
    99213The 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…3,4775,300230$60$164.5K
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes4660260$60$61.9K
    83036Sugar 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).…297350440$1$55K
    82947The lab analyst performs a test to measure the amount of glucose in a patient's blood using a method other than a reagent strip.112180280$1$10.2K
    82962Blood 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…117130480$1$4.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Evans Medical Foundation, Inc.MAInternal Medicine Physician$0$37.8M
    Lgh Medical Group, Inc.MAHospitalist Physician$0$5.7M
    Raphael KievalMARheumatology Physician$1.6M$0
    Syed MahmoodMDMedical Oncology Physician$1M$0
    Kyu KimMARheumatology Physician$628.4K$0
    Gregory JohnsonMAInternal Medicine Physician$54.6K$550.9K
    Albert DalyMAPrimary Podiatric Medicine Podiatrist$462.1K$0
    Hong Jun YunILInterventional Cardiology Physician$432.4K$15.9K
    Donald SonnMAUrology Physician$367.6K$0
    Gary RogersFLDermatology Physician$364.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New England Home Care Solutions IncMAHome Health Agency$0$5.9M
    Steven SaroMAChiropractor$134.3K$328.6K
    Cvs Pharmacy IncMAPharmacy$245.6K$0
    Joseph DulacMAFamily Medicine Physician$39.1K$6.9K
    Cigy MethrattaMAFamily Nurse Practitioner$38.4K$0
    Charmy PatelMAFamily Nurse Practitioner$35.7K$0
    Alexis BeauchesneMAFamily Nurse Practitioner$8.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Miguel Ariza — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Miguel Ariza — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts