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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Victor Gutierrez (NPI 1114372059)

Field	Value
Entity Type	Individual
Organization	Victor Gutierrez
Address	Nmrtc Okinawa
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96362
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 28, 2016

Payer Source	Total Paid
Medicare	$5.4K
Medicaid	$0

Key Findings

This provider is an emergency medicine physician by taxonomy and their Medicare billing profile is dominated by emergency department E/M services, with the top two codes being 99285 and 99284. The code descriptions indicate the practice is focused on high-acuity and moderate-acuity emergency visits rather than procedures or longitudinal ambulatory care, consistent with an ED-focused caseload.

Medicare revenue for this provider totals $5.4K and is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 100.0% of total Medicare revenue. This indicates that virtually all Medicare billings are for a narrow set of emergency department evaluation-and-management encounters.

Code 99285 generates $3.5K in revenue (64.6% of this provider's total Medicare revenue) from 25 claims and ranks #53224 of 61347 nationally (12th percentile). The platform’s percentile language (“typical, unremarkable volume for this code”) and the rank indicate the provider is a modest participant nationally for high-complexity ED visits rather than a high-volume or dominant ED clinician for Medicare.

Code 99284 contributes $1.9K in revenue (35.4% of Medicare revenue) from 21 claims and ranks #55346 of 64306 nationally (13th percentile). As with 99285, the characterization as a typical, unremarkable volume suggests this clinician files a low absolute number of moderate-complexity ED visits relative to national peers, reinforcing that this is not a high-volume Medicare ED practice.

Payer mix is effectively single-payer in practice: there is Medicare revenue ($5.4K) but no Medicaid billing on file. The absence of any Medicaid claims means this provider should be treated as operating without a Medicaid payer footprint in the dataset, which has implications for contracting, network coverage, and Medicaid-focused analyses.

The provider’s NPI was enumerated on 2016-04-28 (~10 years ago), indicating around a decade of enrollment in federal billing systems. That tenure supports interpretation of the low Medicare volumes as persistent practice scale rather than recent entry effects, though the dataset does not show historical year-by-year trends.

From a competitive standpoint, both reported Medicare codes fall in low national percentiles (12th and 13th), so the provider should be considered a modest, local-level participant rather than a major or dominant Medicare emergency medicine billing entity. Analysts evaluating market share or capacity should not assume this provider represents a significant Medicare ED volume source.

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$140	$3.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	20	$90	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Victor Gutierrez — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	7	10	40	$150	$15.7K
99284	7	10	50	$100	$7.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cibola General Hospital Corporation	NM	Critical Access Hospital	$0	$26.5M
Fedko Emergency Physicians New Mexico LLC	NM	Emergency Medicine Physician	$0	$7.2M
Cibola General Hospital Corporation	NM	Rural Health Clinic/Center	$0	$6.4M
Shaya Ansari	NY	Diagnostic Radiology Physician	$1.5M	$1K
Yuyang Zhang	MD	Diagnostic Radiology Physician	$920.4K	$0
Mrunal Tailor	NM	Diagnostic Radiology Physician	$897.5K	$0
Masoud Shiehmorteza	NM	Diagnostic Radiology Physician	$773.7K	$0
Aaron Losey	NM	Diagnostic Radiology Physician	$518K	$0
Jason Ross	TX	Diagnostic Radiology Physician	$482.4K	$0
Tiffany Lewis	NM	Diagnostic Radiology Physician	$402K	$3.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Santiago	AP (Armed Forces Pacific)	Internal Medicine Physician	$154K	$0
Cameron Colvig	AP (Armed Forces Pacific)	Emergency Medicine Physician	$0	$47.7K
Lydia Hunter	AP (Armed Forces Pacific)	Physical Therapist	$29.5K	$0
Roger Davis	AP (Armed Forces Pacific)	Certified Registered Nurse Anesthetist	$20.3K	$0
Jeffrey Pearson	—	Physician Assistant	$12.5K	$0
Zach Tarrillion	AP (Armed Forces Pacific)	Military Health Care Provider	$5.6K	$0
Tequilla Pryor	AP (Armed Forces Pacific)	Pediatrics Physician	$0	$3.3K
Kristin Armstrong	AP (Armed Forces Pacific)	Hand Occupational Therapist	$2.1K	$0

Victor Gutierrez — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References