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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Adriana Guido Rios (NPI 1174970966)

Field	Value
Entity Type	Individual
Organization	Adriana Guido Rios
Address	90-10 Route 206, Suite 1
City	Byram Township
State	NJ
ZIP	07874
Taxonomy	Family Medicine Physician
NPI Enumerated	May 21, 2016

Payer Source	Total Paid
Medicare	$36.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	170	$100	$17.6K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$140	$6.4K
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…	60	$70	$4K
98929	The provider performs controlled manual pressure in nine to ten body regions to treat somatic and nonsomatic disorders.	50	$70	$3.2K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	50	$60	$2.7K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	30	$50	$1.5K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	20	$40	$670
G0444	Annual depression screening, 5 to 15 minutes	30	$20	$610
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$10	$130

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Adriana Guido Rios — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,809	13,640	130	$90	$23.6K
99213	9,204	14,090	100	$70	$13.1K
G0439	2,052	3,370	70	$120	$11.5K
98929	8	10	80	$70	$8K
98927	21	30	60	$50	$5.3K
98926	18	20	40	$40	$5.1K
98928	9	20	60	$60	$4.9K
93000	3,357	3,440	50	$10	$2.1K
G0444	737	1,000	70	$20	$2.1K

Nearby Providers

Other providers in the same ZIP code as Adriana Guido Rios, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Capitol Care, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$50.3M
Center For Humanistic Change Of Nj, Inc.	NJ	Developmentally Disabled Services Day Training Agency	$0	$50.2M

Adriana Guido Rios — Billing Profile & Reimbursement Data

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Adriana Guido Rios — 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