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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

Vicente Aldan (NPI 1184653172)

Field	Value
Entity Type	Individual
Organization	Vicente Aldan
Address	Kulot De Rosa Dr., Chalan Kiya
City	Saipan
State	MP
ZIP	96950
Taxonomy	Family Medicine Physician
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicare	$87.4K
Medicaid	$0

Key Findings

This provider’s Medicare-centered payer mix is effectively single-payer: total Medicare revenue is $87.4K and there is no Medicaid billing on file. That concentration means Medicare reimbursement patterns will dominantly shape the practice’s revenue and utilization profile.

Revenue is highly concentrated in a very small set of services: the top 3 Medicare codes account for 91.1% of total Medicare revenue. Specifically, 90960 alone drives $61.5K (70.2% of Medicare revenue) with 263 claims and a $234 avg paid/claim, while 99213 and 99212 together contribute $12.3K (14.0%) and $6K (6.9%) respectively.

The service mix is strongly weighted toward ESRD monthly management: 90960 (ESRD management with four or more face-to-face visits/month) is the single largest revenue driver at $61.5K (70.2% of Medicare revenue). The presence of smaller but related billing for 90961 ($3K, 15 claims) suggests some months use the 2–3 face-to-face visit intensity, but most ESRD activity is billed at the 4+ visits level.

Primary care E/M activity is also present but secondary to ESRD management: office visit codes 99213 (440 claims, $12.3K, $28 avg paid/claim), 99212 (274 claims, $6K, $22 avg paid/claim), and 99211 (453 claims, $4.5K, $10 avg paid/claim) together make up the remainder of billed Medicare services. Notably, 99212 and 99211 are characterized as "notably above typical national volume," indicating higher-than-typical use of lower-level established-patient visits relative to peers.

Competitive standing is mixed by code: for the ESRD management code 90960 the provider ranks #1403 of 6549 (78th percentile) which the data labels "typical, unremarkable volume," suggesting above-median but not dominant national market share for that service. For primary care E/M codes the provider ranks much higher on some measures — 99212 ranks #3388 of 99011 (97th percentile; "notably above typical national volume") and 99211 ranks #289 of 15987 (98th percentile; "notably above typical national volume") — signaling relatively strong activity on those visit codes versus national peers.

Ancillary and diagnostic services are minimal in the Medicare mix: 93000 accounts for only $343 (0.4% of Medicare revenue) with 49 claims and a $7 avg paid/claim, indicating the practice does not generate significant ECG revenue relative to its ESRD and E/M billing. This suggests the operation is focused on patient management visits rather than high volumes of billed diagnostics.

The provider has long tenure in the NPI registry, enumerated 2006-07-02 (~20 years ago), which indicates an established billing history; combined with the concentrated code mix this suggests a long-standing practice model oriented around ESRD patient management and routine outpatient visits.

Several codes show divergent statistical labels that inform utilization patterns: 99212 and 99211 are labeled "notably above typical national volume," pointing to unusually high volumes for lower-level established-patient visits, while 90960 and 99213 are described as "typical, unremarkable volume" despite 90960 producing the majority of revenue. This mix — a dominant revenue source that is not an extreme outlier plus very high utilization of low-level E/M codes — is an important profile for competitors and payers assessing care mix and utilization drivers.

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
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	260	$230	$61.5K
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…	440	$30	$12.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	270	$20	$6K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	450	$10	$4.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	20	$200	$3K
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…	50	$10	$340

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. Northern Mariana Islands Distribution

Vicente Aldan — 4 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	1	10	260	$230	$61.5K
99213	1	10	40	$40	$3.1K
90961	1	10	20	$200	$3K
99212	1	10	30	$20	$2.1K
99211	1	10	30	$10	$1.7K
93000	1	10	30	$10	$230

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0
Jiayi Kong	MP	Internal Medicine Physician	$21.9K	$0

Vicente Aldan — Billing Profile & Reimbursement Data

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Vicente Aldan — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References