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NPI 1184823312 · Clinton, TN · Neurology Physician
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Luis Zayas-rodriguez is a neurology physician provider located in Clinton, Tennessee. This profile covers 10 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Luis Zayas-rodriguez |
| Address | 155 Frank L Diggs Dr |
| City | Clinton |
| State | TN |
| ZIP | 37716 |
| Taxonomy | Neurology Physician |
| NPI Enumerated | July 17, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $66.5K |
| Medicaid | $12.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 270 | $120 | $33.1K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 80 | $150 | $11.3K |
| 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… | 130 | $80 | $10.1K |
| 64642 | The provider injects a chemical, such as Botox®, into one to four muscles of one extremity to relieve a patient's pain and spasms. | 40 | $70 | $2.7K |
| 64616 | The provider administers a chemical compound to the neck muscles on one side, avoiding the laryngeal muscles. The goal of this procedure is to paralyze the muscles. Providers may treat cervical… | 40 | $70 | $2.7K |
| 11104 | The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions. | 20 | $90 | $1.6K |
| 95874 | In this add–on procedure, the provider uses needle electromyography guidance for a chemodenervation injection. Chemodenervation is a process of injecting a neurotoxin like ethyl alcohol or Botox®… | 110 | $10 | $1.5K |
| 11105 | The provider biopsies an additional or separate skin lesion after the first using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin… | 30 | $40 | $1.5K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary… | 50 | $20 | $1.2K |
| 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… | 20 | $60 | $940 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 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… | 320 | $40 | $12K |
How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Tennessee median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,291 | 3,760 | 610 | $40 | $202.3K |
Other providers in the same ZIP code as Luis Zayas-rodriguez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| County Of Anderson | TN | Land Ambulance | $1.2M | $3.8M |
| James Holtslag | TN | Occupational Therapist | $71.3K | $0 |
| Mary Painter | TN | Speech-Language Pathologist | $31.9K | $0 |
| Apple Rx, LLC | TN | Community/Retail Pharmacy | $19.6K | $10 |
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