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

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

Jose Rivera-melendez (NPI 1164687331)

Field	Value
Entity Type	Individual
Organization	Jose Rivera-melendez
Address	710 Center St
City	Columbus
State	GA
ZIP	31901
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 27, 2008

Payer Source	Total Paid
Medicare	$15.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00670	The provider performs anesthesia services for a patient undergoing an extensive spine and spinal cord procedures including spinal instrumentation, where the provider implants plates and screws into…	40	$180	$6.2K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	50	$80	$3.5K
01230	The provider performs anesthesia services for a patient undergoing an open procedure of the upper two thirds of the femur, or the thigh bone, the long bone that extends from the pelvis to the knee.	10	$130	$1.6K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	10	$90	$1.3K
01480	The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.	10	$80	$1.1K
64415	The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…	20	$50	$1K
01638	The provider performs anesthesia services for a patient undergoing replacement of the shoulder joint.	10	$70	$780
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	10	$40	$420

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Jose Rivera-melendez — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00670	2	210	20	$230	$4.1K
01402	18	400	20	$130	$3.2K
01214	85	170	20	$130	$2.7K
01638	20	30	10	$170	$2.4K
01230	14	50	10	$120	$1.7K
01480	59	120	10	$90	$1.5K
64415	34	160	20	$50	$1.1K
36620	294	300	20	$30	$750

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jose Rivera-melendez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northstar Anesthesia Of Michigan Iii PLLC	TX	Pain Medicine (Anesthesiology) Physician	$0	$12.7M
Anesthesia Services Associates, PC	MI	Anesthesiology Physician	$0	$6.1M
Nicolas Chronos	GA	Cardiovascular Disease Physician	$1.6M	$0
Northside Radiology Associates LLC	GA	Diagnostic Radiology Physician	$0	$991.9K
Patrick Parker	GA	Urology Physician	$783.5K	$0
Anshul Patel	GA	Clinical Cardiac Electrophysiology Physician	$365K	$0
William Wiley	GA	Orthopaedic Surgery Physician	$361.6K	$0
Lawrence Gynther	GA	Hematology & Oncology Physician	$338K	$0
Noman Malik	GA	Diagnostic Radiology Physician	$326.1K	$0
Mina Jacob	AL	Vascular Surgery Physician	$325.9K	$0

Nearby Providers

Other providers in the same ZIP code as Jose Rivera-melendez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neonatology Associates Of Columbus PC	GA	Neonatal-Perinatal Medicine Physician	$0	$6M
Nora Tan-ngo Md Pediatrics PC	GA	Pediatrics Physician	$0	$2.3M
The Medical Center Inc	GA	General Acute Care Hospital	$0	$1.2M
Emergency Group Of Columbus, LLC	GA	Emergency Medicine Physician	$0	$941.7K
Columbus Ambulatory Healthcare Services, Inc.	GA	Family Medicine Physician	$0	$882.5K
Paul R. Steinwachs, Md PC	GA	Pediatrics Physician	$0	$777.1K
Metro Treatment Of Georgia L P	GA	Methadone Clinic	$83.9K	$519.2K
Lauren Smith	GA	Podiatrist	$424.2K	$0
Columbus Children's Clinic	GA	Pediatrics Physician	$0	$364.7K
Harvey Harris	GA	Internal Medicine Physician	$324K	$0

Jose Rivera-melendez — Billing Profile & Reimbursement Data

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Jose Rivera-melendez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References