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

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

Carmen Pichard Encina (NPI 1184760605)

Field	Value
Entity Type	Individual
Organization	Carmen Pichard Encina
Address	Johns Hopkins Hospital
City	Baltimore
State	MD
ZIP	21287
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$11.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$70	$4K
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…	20	$90	$2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$90	$1.6K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$40	$1.1K
99446	A consulting physician or other qualified healthcare professional performs a five– to 10–minute consult via telephone, internet, or electronic health record (EHR) and provides a verbal and written…	70	$10	$970
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…	10	$70	$950
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$40	$610

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Carmen Pichard Encina — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,059	10,270	150	$90	$24.1K
99233	2,588	2,770	80	$100	$16.6K
99232	1,874	3,350	80	$60	$11.1K
20610	769	840	70	$50	$7.6K
99204	3,864	5,380	40	$120	$7.3K
99231	606	940	40	$40	$3K
99446	1	10	20	$10	$400

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mouhamad Annous	MD	Vascular Surgery Physician	$976.7K	$10K
Thu Nguyen	MD	Diagnostic Radiology Physician	$655.6K	$0
Sunal Makadia	MD	Cardiovascular Disease Physician	$433.2K	$0
David Coll	MD	Vascular Surgery Physician	$381.4K	$0
Jerald Insel	MD	Cardiovascular Disease Physician	$294.2K	$0
Elias Ghandour	MD	Nephrology Physician	$244.7K	$0
Lois Kamugisha	MA	Hematology (Internal Medicine) Physician	$204.9K	$0
Brian Miller	SC	Clinical Cardiac Electrophysiology Physician	$201.8K	$0
Lyn Ho	MD	Diagnostic Radiology Physician	$175.4K	$0
Gary Volkell	NY	Neurology Physician	$168.9K	$0

Carmen Pichard Encina — Billing Profile & Reimbursement Data

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Carmen Pichard Encina — 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

Frequently Asked Questions

References