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

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

Carlos Fonte (NPI 1215979604)

Key Findings

Field	Value
Entity Type	Individual
Organization	Carlos Fonte
Address	3201 S Maryland Pkwy
City	Las Vegas
State	NV
ZIP	89109
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

CARLOS FONTE’s Medicare activity is concentrated in cardiovascular diagnostic and interventional outpatient services, with the top revenue-driving CPT/HCPCS codes reflecting SPECT myocardial imaging (78452), comprehensive E/M office visits (99214), and transthoracic echocardiography (93306). These three codes together account for 58.4% of the provider’s total Medicare revenue, indicating a practice model built around advanced cardiac imaging plus substantial ambulatory evaluation and management encounters.

Revenue scale is modest but focused: lifetime Medicare revenue is reported at $1.2M while there is no Medicaid billing on file, so this provider effectively operates as a single-payer (Medicare) billing entity in the available dataset. The absence of Medicaid activity means payer-mix risk is concentrated entirely on Medicare reimbursement and patient population served through that program.

The provider shows extreme national concentration on several high-value cardiac imaging and stress-testing codes: 78452 ranks #16 of 14946 providers (100th percentile, extreme outlier), 99214 ranks #340 of 479517 providers (100th percentile, extreme outlier), and 93306 ranks #310 of 24624 providers (99th percentile, extreme outlier). These rank/percentile placements indicate CARLOS FONTE is a major national outlier for volume and revenue on multiple cardiac diagnostic procedures compared with peers.

Several other imaging and vascular procedure codes also appear well above typical national volumes: A9500 ranks #7 of 4099 providers (100th percentile, extreme outlier) and 93015 ranks #16 of 7716 providers (100th percentile, extreme outlier), while 93880 and 93970 are at the 99th and 96th percentiles respectively. This pattern reinforces that the business is heavily weighted toward diagnostic imaging and vascular ultrasound services in addition to standard cardiology E/M care.

There is a mixed profile when it comes to procedural versus office-based care: high-volume imaging (78452, A9500, 93306) and stress testing (93015, J2785) sit alongside substantial E/M volume (99214 and 99204), suggesting the provider delivers both technical imaging services and longitudinal outpatient management rather than being purely a procedural lab. Higher-paid individual procedures such as 36475 and 36465 also contribute meaningful revenue, indicating some endovascular/venous intervention capability.

Competitive standing by code shows a split between dominant national positions and more typical volumes. For example, the provider is an extreme outlier nationally on 78452, 99214, and 93015, but for vein ablation codes like 36475 and 36465 the provider ranks in more ordinary percentiles (84th and 57th respectively). This suggests national leadership in noninvasive cardiac imaging and stress testing while maintaining routine market participation in vein procedures.

Provider tenure is long: the NPI was enumerated on 2006-06-12 (approximately 20 years ago), indicating an established practice with sustained Medicare billing history. That duration, together with concentrated high ranks on key cardiac procedures, implies an entrenched service line and likely referral relationships feeding the imaging and stress-testing volumes.

Because the dataset shows no Medicaid claims (“none below”), there is no in-state Medicaid footprint to assess; any conclusions about public payer mix should note the provider is effectively single-payer in this record. Analysts and payers should treat Medicaid competitiveness and network impact as unknown absent other data, while recognizing Medicare is the primary revenue source in the available file.

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	840	$340	$285.1K
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…	2,810	$90	$249.9K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	1,060	$140	$146.6K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	480	$150	$70K
36475	In this procedure, the provider inserts a specially designed radiofrequency probe through the skin and destroys the wall of a diseased vein in an extremity. The provider reports this code for…	80	$830	$67.6K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	1,660	$40	$63.2K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	50	$1,040	$54.1K
J2785	Injection, regadenoson, 0.1 mg	1,100	$40	$46.2K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	900	$50	$43.2K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	230	$140	$33.3K

Showing 1–10 of 31

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36465	7	10	70	$1,040	$163K
36482	9	10	50	$1,320	$91.3K
36475	3	10	50	$880	$50K
99233	839	1,150	150	$90	$26.8K
99232	1,061	1,340	140	$60	$23.7K
93306	2	250	190	$90	$22.5K
99214	6	3,610	110	$80	$19K
J2785	7	90	180	$40	$16.7K
78452	1	160	50	$230	$16.7K
99223	902	1,280	60	$130	$13.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$85.9M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$20.9M
Sunrise Hospital And Medical Center, LLC	NV	General Acute Care Hospital	$0	$17.1M
Sanjay Kandoth Md PC	NV	Pediatrics Physician	$0	$14.6M
Sdmi, LLC	NV	Diagnostic Radiology Physician	$0	$14.3M
Harold Zilberman M D Chtd	NV	Pediatrics Physician	$0	$14.3M
Radiology Specialists Ltd Marasso-miller	NV	Diagnostic Radiology Physician	$0	$13.9M
1st Love & Life Caregivers, LLC	NV	In Home Supportive Care Agency	$0	$10.8M
Childrens Lung Specialists	NV	Pediatric Pulmonology Physician	$0	$8.6M
Jlk Home Care, Inc	NV	In Home Supportive Care Agency	$0	$5.1M

Carlos Fonte — 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