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

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

Luis Concepcion (NPI 1194778449)

Field	Value
Entity Type	Individual
Organization	Luis Concepcion
Address	2603 Kentucky Ave
City	Paducah
State	KY
ZIP	42003
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$109.6K
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
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…	490	$130	$62.5K
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…	370	$80	$30.1K
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…	50	$150	$7.7K
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…	170	$20	$4K
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…	30	$60	$1.9K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.6K

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. Kentucky Distribution

Luis Concepcion — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,068	7,230	110	$70	$14.1K
99232	2,340	2,860	100	$60	$11.6K
99223	1,852	1,940	40	$130	$8.6K
99215	10	1,440	30	$110	$6.3K
99222	1,526	2,070	30	$90	$4.5K
99205	92	590	20	$140	$4.4K
G2212	2	40	30	$20	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peter Locken	KY	Radiation Oncology Physician	$426K	$0
Sanjay Bose	KY	Interventional Cardiology Physician	$296.5K	$7.9K
John Migliano	AZ	Hematology & Oncology Physician	$300.2K	$0
Robert Lipson	AZ	Urology Physician	$275.2K	$0
Griffin Bicking	KY	Vascular Surgery Physician	$247.5K	$0
Harikrishnan Damodaran Nair	KY	Interventional Cardiology Physician	$234.8K	$0
William Porter	IN	Radiation Oncology Physician	$227.5K	$0
Darrell New	KY	Family Nurse Practitioner	$44.7K	$181.4K
Vedran Oruc	KY	Clinical Cardiac Electrophysiology Physician	$218.2K	$0
Rami Jambeih	KY	Pulmonary Disease Physician	$216K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$72.6M
Mercy Health-lourdes Hospital LLC	KY	General Acute Care Hospital	$0	$61.9M
Baptist Health Medical Group Inc	KY	Family Medicine Physician	$0	$21.9M
Mercy Health Physicians Kentucky LLC	KY	Family Medicine Physician	$0	$11.9M
Ambulatory Surgery Center LLC	KY	Ambulatory Surgical Clinic/Center	$771.4K	$8.7M
Joseph Blackmon	KY	MOHS-Micrographic Surgery Physician	$6.9M	$0
John Colgan Jr.	KY	Pediatric Dentistry	$0	$5.6M
Mercy Health Physicians Kentucky Specialty Care LLC	KY	Surgery Physician	$0	$4.7M
Justin Colgan	KY	Pediatric Dentistry	$0	$4.6M
Paducah Ophthalmology Asc LLC	KY	Ambulatory Surgical Clinic/Center	$1.3M	$467.8K

Luis Concepcion — Billing Profile & Reimbursement Data

Sign up for Luis Concepcion — Billing Profile & Reimbursement Data policy alerts

Luis Concepcion — Billing Profile & Reimbursement Data

Sign up for Luis Concepcion — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References