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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Torres
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    Carlos Torres — Billing Profile & Reimbursement Data

    NPI 1184608028 · Irving, TX · Anatomic Pathology & Clinical Pathology Physician

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    Carlos Torres is a anatomic pathology & clinical pathology physician provider located in Irving, Texas. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Torres
    Address330 Las Colinas Blvd E
    CityIrving
    StateTX
    ZIP75039
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedDecember 5, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$580.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…9,950$40$368.3K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…1,120$90$95.5K
    88313The lab analyst performs the technical lab steps to stain a specimen for Group II identification, for example an iron stain or trichrome stain. A qualified provider, typically a pathologist,…1,410$60$86.1K
    87507The lab analyst performs a test to detect 12 to 25 types or subtypes of a pathogen, such as Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia, that affects the gastrointestinal…40$410$17.5K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…190$30$4.8K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…80$60$4.7K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…60$60$3.4K
    88300The physician, typically a pathologist, performs a level I examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…10$10$160

    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

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305201,120400$40$51.6K
    8750731030$360$17.1K
    883121558060$60$9.7K
    88342534910100$50$8.9K
    88341730810180$30$8.9K
    88313855080$40$6.7K
    883045669050$20$1.7K
    8830027129030$1$140

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    University Of Vermont Medical Center IncVTInternal Medicine Physician$0$17.6M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Texas Digestive Disease Consultants, PLLCTXClinical Medical Laboratory$8M$61.6K
    April LopezTXFamily Nurse Practitioner$6.7M$0
    Rohit AdyanthayaVAOphthalmology Physician$4.1M$0
    Ricky AlanizTXOptometrist$77.9K$3.7M
    Jeremiah BrownTXRetina Specialist (Ophthalmology) Physician$3.7M$0
    Veronica PapaveroFLAnatomic Pathology Physician$3.7M$0
    Joseph KhawlyTXOphthalmology Physician$3.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Medical Professionals Of Arizona, LLCTXEmergency Medicine Physician$0$12.2M
    Stratus Dx, LLCTXPhysiological Laboratory$2.4M$7.2M
    Darren WhittemoreTXAnatomic Pathology & Clinical Pathology Physician$714.1K$0
    Whitney ChouteauTXInterventional Pain Medicine Physician$517.4K$0
    Jessica GerhartTXFamily Nurse Practitioner$290K$0
    Frontera Strategies, LPTXPhysiological Laboratory$204.7K$1.1K
    James BurdickTXGastroenterology Physician$100.5K$0
    Paul LydeTXInternal Medicine Physician$61.9K$0
    Rajal ShahTXAnatomic Pathology & Clinical Pathology Physician$32.4K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Carlos Torres — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas