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

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

Miguel Medina (NPI 1245421361)

Field	Value
Entity Type	Individual
Organization	Miguel Medina
Address	8900 N Kendall Dr
City	Miami
State	FL
ZIP	33176
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	August 5, 2007

Payer Source	Total Paid
Medicare	$71.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
14302	At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…	110	$200	$22.5K
19357	In this procedure, the provider places a tissue expander into the skin and pectoralis major muscles of the chest. The patient has the procedure to increase the size and volume of the breast to make…	10	$1,340	$16K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	30	$500	$15.4K
19380	Breast revision is performed to improve unacceptable cosmetic appearance or other complication.	10	$810	$10.5K
15777	During a breast or trunk soft–tissue procedure, the provider attaches a biologic implant to reinforce the tissue.	10	$260	$3.4K
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	$110	$1.7K
99203	The provider sees a new 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 provider…	10	$70	$820
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…	10	$60	$800

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Miguel Medina — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
14301	33	90	20	$770	$27.7K
19357	2	10	20	$1,210	$18.1K
19380	4	10	20	$950	$16.1K
14302	8	30	60	$170	$14.3K
99213	28,681	30,010	80	$60	$12K
99204	16,281	19,040	40	$110	$7K
99203	10,815	11,720	40	$70	$4.4K
15777	5	10	20	$220	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randy Edwards	FL	Acute Care Nurse Practitioner	$787.4K	$0
William Tingle	FL	Urology Physician	$328.8K	$0
Abelardo Corona	FL	Internal Medicine Physician	$240.6K	$0
Mario Pascual	FL	Clinical Cardiac Electrophysiology Physician	$221K	$0
Charles Lawrie	FL	Orthopaedic Surgery Physician	$177.9K	$0
David Mattos	FL	Plastic and Reconstructive Surgery Physician	$173.2K	$0
Valerie Donnelson	FL	Physician Assistant	$122.3K	$31.8K
Moises Lustgarten	FL	Interventional Pain Medicine Physician	$150.9K	$0
Juan Viles-gonzalez	FL	Clinical Cardiac Electrophysiology Physician	$139.9K	$0
Nestor Galvez-jimenez	FL	Neurology Physician	$138.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nova Rehabilitation Inc.	FL	Home Health Agency	$0	$44.9M
Baptist Hospital Of Miami Inc	FL	General Acute Care Hospital	$0	$31.8M
Advantis Home Care, Inc.	FL	Home Health Agency	$0	$11.1M
Pediatric Gastroenterology Associates PLLC	FL	Pediatric Gastroenterology Physician	$0	$10.1M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Andrew Schimel	FL	Ophthalmology Physician	$1.8M	$0
Baptist Health Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$1.5M	$6.9K
Pedro Lopez	FL	Ophthalmology Physician	$1.1M	$0
Thomas Lange	FL	Physical Therapist	$625.7K	$0
Claudia Ferreiro	FL	Occupational Therapist	$624.7K	$0

Miguel Medina — 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