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

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

Carlos Vaca (NPI 1154437028)

Field	Value
Entity Type	Individual
Organization	Carlos Vaca
Address	8260 W Flagler St Ste 2h
City	Miami
State	FL
ZIP	33144
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicare	$124.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99442	N/A	640	$50	$33.7K
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…	240	$100	$23.4K
99458	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…	280	$30	$9.1K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	190	$40	$7.7K
99454	The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.	180	$40	$7.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$60	$7K
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…	90	$70	$6.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	50	$100	$4.6K
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…	20	$180	$3.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$140	$3.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Carlos Vaca — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1,967	2,150	290	$80	$45K
99214	11,435	32,760	140	$90	$25K
99233	7,176	9,970	100	$90	$20.1K
99232	6,726	13,090	120	$60	$17.5K
96133	173	180	140	$80	$17.4K
99291	3,888	4,770	50	$170	$15.7K
99458	108	320	150	$30	$15.7K
99457	203	460	160	$40	$15K
99454	199	420	170	$40	$13.6K
G0439	5,683	7,210	60	$120	$13.4K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Csi Catalano's Nurses Registry, Inc.	FL	Attendant Care Provider	$0	$26.1M
Florida Ent Associates, Inc.	FL	Otolaryngology Physician	$0	$10.5M
New Broward Community Center	FL	Case Management Agency	$0	$7.9M
Eccolab Group Co	FL	Clinical Medical Laboratory	$5.3M	$2.4M
Humanity Home Health Care, Inc	FL	Home Health Agency	$0	$7.3M
Annie Casta	FL	Family Medicine Physician	$4.2M	$0
Sandor Romero	FL	Internal Medicine Physician	$962.6K	$0
David Alduncin	FL	Family Nurse Practitioner	$783.7K	$0
Jose Garcia	FL	Internal Medicine Physician	$486.7K	$20.1K
Zurester Fleitas	FL	Family Nurse Practitioner	$364K	$0

Carlos Vaca — Billing Profile & Reimbursement Data

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Carlos Vaca — 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