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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Daniel Macias (NPI 1184734675)

Field	Value
Entity Type	Individual
Organization	Daniel Macias
Address	3075 Us Route 60 Ste A120
City	Huntington
State	WV
ZIP	25705
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$44.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	490	$60	$30.1K
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…	60	$70	$4.4K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	470	$10	$4.2K
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…	80	$40	$3.4K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	70	$30	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Daniel Macias — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	174	2,740	100	$70	$11.8K
99213	1,426	2,860	80	$50	$7.5K
99204	230	1,220	30	$100	$4.1K
95251	18	40	60	$20	$2K
77080	3	120	70	$10	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Mary's Medical Center Inc	WV	General Acute Care Hospital	$0	$47.5M
St. Mary's Himg, LLC	WV	Internal Medicine Physician	$0	$2.6M
Ultimate Health Services Inc	WV	Family Medicine Physician	$0	$908.1K
Ahmed Abdelgaber	WV	Family Medicine Physician	$377.5K	$0
Robert Turner	WV	Family Medicine Physician	$293.4K	$0
Suresh Kumar	WV	Neurology Physician	$252.3K	$0
Michael Collins	WV	Nephrology Physician	$245.3K	$0
Ronald Barebo	WV	Neurology Physician	$208.3K	$0
Matthew Bullock	WV	Adult Reconstructive Orthopaedic Surgery Physician	$207.9K	$0
Misty Barebo	WV	Family Nurse Practitioner	$187.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ncgcare Acquisition, LLC	WV	Psychiatry Physician	$0	$40.3M
Prestera Center For Mental Health Services, Inc	WV	Community/Behavioral Health Agency	$0	$18.7M
Radiology Inc	WV	Diagnostic Radiology Physician	$0	$15.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.2M
Prestera Center For Mental Health Services, Inc	WV	Developmental Disabilities Clinic/Center	$0	$13M
Associates In Psychology And Therapy, Inc.	WV	Psychologist	$0	$1.5M
Valley Health Systems, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.4M
Vishal Verma	WV	Ophthalmology Physician	$419.8K	$0
Timothy Saxe	WV	Internal Medicine Physician	$278.2K	$0
Mark Akers	WV	Diagnostic Radiology Physician	$173.7K	$0

Daniel Macias — Billing Profile & Reimbursement Data

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Daniel Macias — 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