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.

Rose-valentine Goncalves (NPI 1144296971)

Field	Value
Entity Type	Individual
Organization	Rose-valentine Goncalves
Address	Psc 475
City	Fpo
State	AP (Armed Forces Pacific)
ZIP	96350
Taxonomy	Emergency Medicine Physician
NPI Enumerated	February 23, 2006

Payer Source	Total Paid
Medicare	$92.8K
Medicaid	$0

Key Findings

ROSE-VALENTINE GONCALVES is an Emergency Medicine Physician enumerated on 2006-02-23 (~20 years ago) with lifetime Medicare revenue of $92.8K and no Medicaid billing on file; the absence of any Medicaid claims makes this effectively a Medicare-only billing profile. This tenure (~20 years) indicates long-standing enrollment but a relatively small lifetime Medicare revenue pool compared with larger emergency medicine practices.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 95.0% of this provider's total Medicare revenue. Those three are 99285 ($40K, 43.1%), 99291 ($25.3K, 27.2%), and 99284 ($22.8K, 24.6%), together forming the dominant revenue stream for this clinician.

The code mix—dominated by 99285, 99284, and 99291—points to a practice focused on emergency department evaluation and management and a meaningful share of critical care time. 99285 and 99284 are high- and moderate-level ED E/M services while 99291 represents billed critical care services, so the operational footprint appears centered on acute emergency and some critical-care encounters rather than routine office-based care.

Operational volume details reinforce that acuity: 99285 shows 280 claims at $143 avg paid/claim, 99291 has 147 claims at $172 avg paid/claim, and 99284 has 235 claims at $97 avg paid/claim. These claim counts and average payments reflect regular throughput of higher-acuity ED visits and measurable critical care activity rather than low-acuity episodic visits.

Competitive standing varies by code: 99284 ranks in the 98th percentile (notably above typical national volume), indicating unusually high relative utilization of moderate-complexity ED visits compared with peers, while both 99285 (88th percentile) and 99291 (88th percentile) are described as typical, unremarkable volume for those codes nationally. Other codes show mixed positioning—99283 is 94th percentile (notably above typical) and 93010 is 51th percentile (typical, unremarkable)—so the provider is a modest but concentrated participant with a few codes showing standout volume.

Payer mix is effectively single-payer Medicare: there is no Medicaid revenue on file, which implies limited Medicaid exposure and limited diversification of public-payer revenue streams. That single-payer concentration means changes in Medicare policy or reimbursement for the dominant ED and critical-care codes would have outsized effects on this provider's revenue profile.

Given the modest absolute scale of Medicare revenue ($92.8K) combined with the fact that 95.0% of that revenue is driven by three codes, the practice’s financial profile is vulnerable to shifts in utilization, coding rules, or reimbursement for 99285/99291/99284. High concentration in a small set of ED/critical-care codes increases sensitivity to coding audits, documentation requirements, and changes in E/M valuation.

Because 99291 (critical care) represents $25.3K (27.2% of Medicare revenue) and carries strict medical-necessity and time-based documentation requirements, ensuring robust documentation and coding compliance for critical care encounters should be a priority. Similarly, the unusually high national standing on 99284 (98th percentile, notably above typical) suggests the practice should periodically review triage, acuity assignment, and documentation practices for moderate-complexity ED visits to align coding with clinical records.

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
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.	280	$140	$40K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	150	$170	$25.3K
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.	240	$100	$22.8K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	70	$60	$4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	110	$10	$680

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. 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

Rose-valentine Goncalves — 3 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	2	10	40	$150	$15.7K
99291	1	10	70	$180	$13.8K
99284	1	10	50	$100	$7.4K
99283	1	10	40	$60	$2.3K
93010	2	10	150	$10	$930

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rose-valentine Goncalves, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mep Health, LLC	MD	Emergency Medicine Physician	$0	$105.9M
Eddie Fernandez	MD	Emergency Medical Services (Emergency Medicine) Physician	$882.3K	$0
Alfred Jump	MD	Emergency Medicine Physician	$709.3K	$0
Michael Perraut	MD	Internal Medicine Physician	$479.5K	$0
Khanh Nguyen	MD	Emergency Medicine Physician	$357.3K	$0
Rafael De La Puente	MA	Emergency Medicine Physician	$211.1K	$0
Adam Corman	GA	Emergency Medicine Physician	$39.9K	$161.9K
Eric Goldenberg	IN	Emergency Medicine Physician	$177.8K	$0
Caleb Leibee	MD	Emergency Medicine Physician	$166.2K	$0
Cheri Cartagena	MD	Medical Physician Assistant	$163.3K	$0

Nearby Providers

Other providers in the same ZIP code as Rose-valentine Goncalves, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Winslow	AP (Armed Forces Pacific)	Emergency Medicine Physician	$23.3K	$69.6K
Mark Boone	AP (Armed Forces Pacific)	Pediatric Dentistry	$0	$13.4K
Seung Young Huh	AP (Armed Forces Pacific)	Emergency Medicine Physician	$13.1K	$0
Scott Naples	AP (Armed Forces Pacific)	Medical Physician Assistant	$7.5K	$0
Lauren Cruz	AP (Armed Forces Pacific)	Physical Therapist	$6.3K	$0

Rose-valentine Goncalves — Billing Profile & Reimbursement Data

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Rose-valentine Goncalves — 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