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

Why is the Medicaid comparison limited to California 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. California (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.

Paul Teixeira (NPI 1124043344)

Field	Value
Entity Type	Individual
Organization	Paul Teixeira
Address	1248 Monterey St
City	San Luis Obispo
State	CA
ZIP	93401
Taxonomy	Specialist
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$301.8K
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
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	11,140	$20	$267.4K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	290	$80	$22.3K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	130	$60	$7.3K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	140	$20	$3.1K
97163	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history of a patient with three or more personal factors that may affect care, assess a clinical…	20	$80	$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 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Paul Teixeira — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	7	5,200	380	$30	$19.2K
97112	3,819	5,210	310	$20	$12.6K
97162	13	3,440	30	$80	$3.6K
97163	481	700	20	$80	$2.6K
97164	61	1,160	30	$60	$2.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of San Luis Obispo	CA	Community/Behavioral Health Agency	$0	$66.8M
Pacific Point Laboratories, Inc.	CA	Clinical Medical Laboratory	$8.5M	$38.8M
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$25.3M
San Luis Ambulance Service, Inc.	CA	Land Ambulance	$4.3M	$7.8M
Brian Dicarlo	CA	Hematology & Oncology Physician	$4.7M	$0
San Luis Obispo Surgery Center A California Limited Partnership	CA	Ambulatory Surgical Clinic/Center	$2.9M	$0
Daniel Agarwal	CA	Ophthalmology Physician	$2.3M	$0
Erin Chamberlain	CA	Hematology & Oncology Physician	$1.9M	$0
California Medical Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Steven Johnson	CA	Ophthalmology Physician	$1.5M	$0

Paul Teixeira — Billing Profile & Reimbursement Data

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Paul Teixeira — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References