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

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

Manuel Peralta (NPI 1245451194)

Field	Value
Entity Type	Individual
Organization	Manuel Peralta
Address	2103 Graves Mill Rd
City	Forest
State	VA
ZIP	24551
Taxonomy	Family Medicine Physician
NPI Enumerated	May 1, 2007

Payer Source	Total Paid
Medicare	$264.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

47 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…	1,080	$80	$87.2K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	180	$280	$50.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	370	$130	$46.4K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	170	$70	$12.5K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	700	$10	$5.6K
G0008	Administration of influenza virus vaccine	180	$30	$5.3K
G0009	Administration of pneumococcal vaccine	180	$30	$5.3K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	20	$220	$4.8K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	350	$10	$4.5K
99442	N/A	50	$60	$3.2K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Manuel Peralta — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	369	12,890	140	$80	$21K
G0439	141	2,960	80	$120	$14.7K
80053	739	750	210	$10	$8.1K
80061	164	630	180	$10	$8.1K
90677	11	1,850	20	$280	$8K
84443	337	610	110	$20	$7.3K
82306	145	450	60	$30	$7.1K
90662	272	2,260	60	$70	$5.8K
99496	228	560	20	$190	$5.1K
85025	586	1,180	100	$10	$4K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group, LLC	VA	Internal Medicine Physician	$0	$81.2M
Robert Brennan	VA	Infectious Disease Physician	$15.9M	$0
Adebowale Prest	MD	Family Medicine Physician	$2.8M	$0
Bluestone Health Association, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$1.9M
Enrico Giangeruso	VA	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$0
Glenda Mccarter	MD	Nurse Practitioner	$1.3M	$0
Marilyn Chengot	NY	Cardiovascular Disease Physician	$909.9K	$15.1K
Momodu Jack	DC	Gastroenterology Physician	$25K	$759K
Anish Desai	MD	Pulmonary Disease Physician	$302.4K	$374.2K
Christopher Vaccari	MD	Cardiovascular Disease Physician	$675.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Alternatives Virginia, Inc.	VA	Community/Behavioral Health Agency	$0	$172.7M
David M Harman Md LLC	VA	Ophthalmology Physician	$0	$9.6M
Surgery Center Of Central Virginia Inc.	VA	Ambulatory Surgical Clinic/Center	$1.9M	$976.1K
Catherine Baston	VA	Ophthalmology Physician	$449K	$0
Kevin Lowder	VA	Ophthalmology Physician	$402.3K	$0
Billy Haley	VA	Optometrist	$379.8K	$0
Daniel Acevedo	VA	Physician Assistant	$343.7K	$0
Charles Latham	VA	Family Medicine Physician	$325.6K	$0
Rick Lee	VA	Pain Medicine (Anesthesiology) Physician	$275.9K	$0
John Carmack	VA	Family Medicine Physician	$253.1K	$0

Manuel Peralta — Billing Profile & Reimbursement Data

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Manuel Peralta — 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