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

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

Cesar Roca (NPI 1275533549)

Field	Value
Entity Type	Individual
Organization	Cesar Roca
Address	1505 Daphne Ave
City	Daphne
State	AL
ZIP	36526
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	July 28, 2005

Payer Source	Total Paid
Medicare	$18.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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…	90	$80	$7.4K
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…	100	$60	$5.9K
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	$120	$2.1K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	80	$20	$1.8K
73010	The provider performs a complete X–ray study of the scapula (shoulder blade) to assess a fracture or other injury and conditions like arthritis, bone spurs, tumors, or congenital abnormalities.	80	$20	$1.2K
73562	In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	20	$30	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Cesar Roca — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,313	7,330	120	$80	$16.8K
99213	2,662	6,470	80	$50	$7.9K
99204	2,768	3,750	30	$100	$4.8K
73562	306	340	40	$20	$1.5K
73030	119	650	40	$20	$940
73010	4	30	50	$20	$900

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Thomason	AL	Physical Medicine & Rehabilitation Physician	$536.1K	$0
Laura Harris	AL	Physician Assistant	$433.1K	$0
Joseph Zarzour	AL	Orthopaedic Surgery Physician	$240.4K	$0
James Spain	AL	Sports Medicine (Family Medicine) Physician	$176.4K	$0
Matthew Barber	AL	Orthopaedic Surgery Physician	$168.8K	$0
John Todd	AL	Specialist	$146.1K	$0
Charles Gordon	AL	Orthopaedic Surgery of the Spine Physician	$143.8K	$0
Kyle Martinos	NM	Physical Therapist	$129.1K	$0
John Harcourt	AL	Sports Medicine (Family Medicine) Physician	$126.6K	$0
Michael Chamblee	AL	Orthopaedic Surgery Physician	$126K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Shore Developmental Clinic	AL	Nurse Practitioner	$0	$4M
Daphne Pediatric Dentistry Inc	AL	Pediatric Dentistry	$0	$2M
William Mcevoy	AL	Hematology & Oncology Physician	$1.7M	$0
Joseph Jones	AL	Hematology & Oncology Physician	$1.6M	$0
Kids Kount Therapy Services, LLC	AL	Early Intervention Provider Agency	$0	$1.5M
Autism Behavior And Cognitive Development LLC	AL	Community/Behavioral Health Agency	$0	$1.2M
American Autism & Rehabilitation Center Inc	AL	Occupational Therapist	$0	$862.3K
Rachael Harmon	AL	Radiation Oncology Physician	$729.3K	$0
Brittany Case	AL	Medical Oncology Physician	$727.3K	$0
Jonathan Rainer	AL	Physical Medicine & Rehabilitation Physician	$418.9K	$0

Cesar Roca — Billing Profile & Reimbursement Data

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Cesar Roca — 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