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.

Daniel Fernandez (NPI 1164682803)

Daniel Fernandez is a radiation oncology physician provider located in Tampa, Florida. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Daniel Fernandez
Address	12902 Usf Magnolia Dr
City	Tampa
State	FL
ZIP	33612
Taxonomy	Radiation Oncology Physician
NPI Enumerated	June 16, 2008

Payer Source	Total Paid
Medicare	$45.5K
Medicaid	$0

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
55875	The provider, a urologist or oncologist, places needles or catheters into the prostate for separate placement of radioactive "seeds" to treat prostate cancer; needle or catheter placement may be done…	20	$630	$9.4K
77014	N/A	230	$40	$8K
77295	Computer–generated radiographic reconstruction and volumetric dose calculation are used to improve accuracy of external beam radiation administration. Documentation may include 3D volume…	30	$180	$5.1K
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…	60	$80	$4.7K
77772	In this procedure, the provider places a catheter, within the cancerous tissue (interstitial) or within the body cavity (intracavitary), loaded with a high energy radioactive substance to treat the…	20	$210	$3.4K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	20	$140	$3.3K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	30	$70	$2K
77470	In this procedure, the provider performs special radiotherapy procedures requiring special consideration from the provider in the overall management of radiotherapy treatment.	20	$90	$1.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$120	$1.4K
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…	20	$90	$1.4K

Showing 1–10 of 17

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77014	253	350	500	$70	$55.6K
55874	31	50	20	$1,410	$33.9K
77280	222	310	50	$190	$27.4K
99214	22,542	32,760	140	$90	$25K
55875	6	10	20	$1,060	$18K
G6002	199	210	240	$40	$15.9K
77290	166	310	30	$270	$13.9K
99213	26,485	30,010	80	$60	$12K
99215	8,132	8,550	40	$130	$10.7K
77263	290	350	60	$130	$9.4K

Daniel Fernandez — Billing Profile & Reimbursement Data

Sign up for Daniel Fernandez — Billing Profile & Reimbursement Data policy alerts

Daniel Fernandez — Billing Profile & Reimbursement Data

Sign up for Daniel Fernandez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References