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.

Jose Diaz Pagan (NPI 1275596850)

Field	Value
Entity Type	Individual
Organization	Jose Diaz Pagan
Address	8230 Gateway Blvd E
City	El Paso
State	TX
ZIP	79907
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	April 6, 2006

Payer Source	Total Paid
Medicare	$29.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$970	$14.6K
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…	170	$60	$10K
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…	30	$70	$1.9K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	50	$20	$1.2K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	20	$20	$550
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	20	$30	$510
11981	The provider inserts a bioresorbable, biodegradable, or non–biodegradable implant, such as a capsule or pellet, containing a drug for long–term delivery.	20	$20	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Jose Diaz Pagan — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	643	760	30	$900	$38K
15271	115	120	70	$100	$9.9K
99213	7,724	29,790	70	$60	$8.4K
99203	5,908	10,820	30	$70	$3.4K
11981	7	10	60	$20	$2.1K
73030	1,854	2,450	40	$20	$1.1K
73560	518	1,540	30	$10	$840

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bhs Physicians Network, Inc	TX	Family Medicine Physician	$0	$32.1M
Straight Line Arla	TX	Psychiatry Physician	$242.4K	$1M
Jason Yoho	TX	Interventional Cardiology Physician	$1.2M	$0
Seth Fritcher	TX	Vascular Surgery Physician	$1.1M	$0
Teresa Duran	TX	Anatomic Pathology Physician	$772.1K	$0
Yasser Farra	TX	Cardiovascular Disease Physician	$766.8K	$0
Michael Peck	TX	Vascular Surgery Physician	$718.4K	$0
Christopher Phelps	TX	Orthopaedic Surgery Physician	$571.2K	$0
John Barrington	TX	Adult Reconstructive Orthopaedic Surgery Physician	$568.1K	$0
Jaweed Sayeed	TX	Interventional Cardiology Physician	$537.1K	$0

Nearby Providers

Other providers in the same ZIP code as Jose Diaz Pagan, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apc Home Health Service, Inc	TX	Home Health Agency	$0	$66.2M
San Antonio In Home Health Care	TX	In Home Supportive Care Agency	$0	$17M
Bncfranco, LLC	TX	Developmentally Disabled Services Day Training Agency	$0	$16.4M
Texas Kids Dental Care PA	TX	Dentist	$0	$12.9M

Jose Diaz Pagan — Billing Profile & Reimbursement Data

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Jose Diaz Pagan — 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