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

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

Avelina Flores (NPI 1104899582)

Field	Value
Entity Type	Individual
Organization	Avelina Flores
Address	411 Rte 9
City	Lanoka Harbor
State	NJ
ZIP	08734
Taxonomy	Internal Medicine Physician
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicare	$55.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	350	$90	$31.9K
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…	150	$70	$10.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	$140	$7.5K
G0008	Administration of influenza virus vaccine	60	$30	$1.9K
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…	10	$100	$1.4K
99423	Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code…	60	$30	$1.4K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	60	$20	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Avelina Flores — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	3,164	13,640	130	$90	$23.6K
99213	5,356	14,090	100	$70	$13.1K
G0439	1,862	3,370	70	$120	$11.5K
99204	6,176	7,160	40	$130	$6.5K
99423	2	10	60	$40	$4.8K
G0008	1,959	4,290	50	$30	$3K
90688	43	210	30	$20	$870

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manish Saini	NJ	Internal Medicine Physician	$510.5K	$0
Jennifer Bannon	NJ	Family Nurse Practitioner	$166.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Terry Brooks	NJ	Family Nurse Practitioner	$90.6K	$0
Wal-mart Stores East LP	NJ	Community/Retail Pharmacy	$82.4K	$0
Christina Duggan	NJ	Clinical Social Worker	$64.3K	$0

Avelina Flores — Billing Profile & Reimbursement Data

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Avelina Flores — 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