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

Why is the Medicaid comparison limited to Texas 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. Texas (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 Perez (NPI 1225705858)

Field	Value
Entity Type	Individual
Organization	Carlos Perez
Address	414 W Sunset Rd Ste 101
City	San Antonio
State	TX
ZIP	78209
Taxonomy	Physical Therapist
NPI Enumerated	August 23, 2021

Payer Source	Total Paid
Medicare	$347.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,500	$20	$127.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	4,700	$20	$112.9K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	6,150	$20	$98.4K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	140	$70	$9.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Carlos Perez — 4 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	18	3,610	450	$20	$14K
97112	17	2,900	300	$20	$10.8K
97140	6	2,750	190	$20	$5.6K
97161	32	1,480	30	$70	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Jendrusch	TX	Physical Therapist	$479.1K	$0
Joseph Elliott	TX	Physical Therapist	$329.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Provider Care At Home LLC	TX	Home Health Agency	$0	$20.3M
Concord Primary Care Services	TX	Home Health Agency	$0	$19.7M
Adaptive Health Services, LLC	TX	Home Health Agency	$0	$18M
Super Hero Kids Home Health, LLC.	TX	Home Health Agency	$0	$13.4M
Max Garoutte	TX	Cardiovascular Disease Physician	$660.8K	$0
Stephanie Jones	TX	Pain Medicine Physician	$394.2K	$0
Christian Boudreaux	TX	Physician Assistant	$372.4K	$0
Mohammed Lilo	TX	Anatomic Pathology & Clinical Pathology Physician	$325.7K	$0
Fernando Trujillo	TX	Ophthalmology Physician	$284.6K	$0
Calvin Day	TX	MOHS-Micrographic Surgery Physician	$241.2K	$0

Carlos Perez — Billing Profile & Reimbursement Data

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Carlos Perez — 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