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

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

Guillermo Perez (NPI 1174609564)

Field	Value
Entity Type	Individual
Organization	Guillermo Perez
Address	5015 S Mccoll Rd
City	Edinburg
State	TX
ZIP	78539
Taxonomy	Surgery Physician
NPI Enumerated	October 27, 2006

Payer Source	Total Paid
Medicare	$25K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	80	$120	$9.3K
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…	90	$90	$8.3K
36818	The provider creates an arteriovenous anastomosis by connecting the cephalic vein to the brachial artery in the upper arm, which provides better vascular access in patients with kidney failure who…	10	$500	$6K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	30	$30	$730
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	20	$30	$460
93923	Noninvasive arterial diagnostic procedures are performed to examine the rate of blood flow in an area and to assess the presence of a blockage in the upper and lower extremity arteries.…	20	$20	$300

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Guillermo Perez — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	18,167	32,500	110	$80	$17.6K
36818	4	10	10	$770	$11.5K
93925	752	1,040	30	$140	$6K
99204	2,894	16,380	30	$110	$5.6K
93970	912	1,740	30	$80	$4.3K
93923	336	470	30	$80	$4.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Guillermo Perez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ngozi Okoba	TX	Nephrology Physician	$1.1M	$0
Chijioke Ogbu	TX	Nephrology Physician	$685.8K	$0
Jason Shumadine	VA	Radiation Oncology Physician	$669.4K	$0
Mena Habib	TX	Nephrology Physician	$656.9K	$0
Benjamin Lee	TX	Nephrology Physician	$610.3K	$0
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0
Manuel Urbina	TX	Nephrology Physician	$146.9K	$0
Alberto Pena	TX	Colon & Rectal Surgery Physician	$89.5K	$0
Dustin Luebbers	TX	Colon & Rectal Surgery Physician	$18.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcallen Hospitals L P	TX	General Acute Care Hospital	$0	$124.6M
Doctors Hospital At Renaissance, Ltd	TX	General Acute Care Hospital	$0	$65.1M
Tropical Texas Behavioral Health	TX	Multi-Specialty Clinic/Center	$0	$61.5M
Nuestro Sagrado Corazon Primary Home Care, Inc.	TX	Personal Care Attendant	$0	$56.5M
Regional Nursing Services Mgmt., Inc.	TX	Home Health Agency	$0	$45.5M
Verge Primary Home Care	TX	Personal Care Attendant	$0	$42.7M
Arc Primary Care, LLC.	TX	Home Health Agency	$0	$42.3M
Heaven Sent Services, L.L.C.	TX	Personal Care Attendant	$0	$40.4M
Ddnj, Inc.	TX	In Home Supportive Care Agency	$0	$34.3M
Life Choices Unlimited, Inc.	TX	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$28M

Guillermo Perez — 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