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

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

Neri M. Blanco, Md, Inc (NPI 1275714990)

Neri M. Blanco, Md, Inc is a surgery physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Neri M. Blanco, Md, Inc
Address	4441 S Eastern Ave
City	Las Vegas
State	NV
ZIP	89119
Taxonomy	Surgery Physician
NPI Enumerated	November 21, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

14 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…	28,000	$60	$1.7M
28003	In this procedure, the provider drains fluid from multiple infected bursal spaces underneath the fascia of the foot. The infection may or may not spread to the tendon sheath. A bursa is a fluid…	4,840	$230	$1.1M
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…	12,550	$50	$639.8K
27603	The provider incises and drains an abscess or hematoma in ankle or leg. He performs the procedure to treat an infection and relieve pain.	3,390	$170	$572.7K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	16,650	$30	$416.3K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	14,630	$30	$409.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	11,360	$20	$193.1K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	13,970	$10	$181.6K
11044	The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…	3,450	$40	$120.9K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	11,870	$10	$118.7K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Neri M. Blanco, Md, Inc — 10 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
28003	In this procedure, the provider drains fluid from multiple infected bursal spaces underneath the fascia of the foot. The infection may or may not spread to the tendon sheath. A bursa is a fluid…	1	10	2,510	$230	$584.1K
27603	The provider incises and drains an abscess or hematoma in ankle or leg. He performs the procedure to treat an infection and relieve pain.	1	10	3,390	$170	$572.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	233	430	500	$40	$214.4K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	1	10	1,050	$30	$138.8K
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…	29	2,250	290	$60	$138K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	1	10	230	$40	$108.2K
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…	105	2,480	330	$50	$107.6K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1	50	690	$40	$67.7K
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…	263	780	90	$100	$46.6K
11044	The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…	1	10	260	$40	$44.3K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NV	Clinical Medical Laboratory	$18.2M	$59.3M
Jed Adam Enterprises, LLC	NV	Home Health Agency	$0	$61.5M
Solace Pediatric Healthcare Nursing Services, Nv, LLC	NV	Home Health Agency	$0	$36.1M
Desert Springs Hospital	NV	General Acute Care Hospital	$0	$22.3M
Founders Healthcare, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$18.9M
A Better Way Home Care, LLC	NV	In Home Supportive Care Agency	$0	$14.7M
Absolute Personal Care,llc	NV	In Home Supportive Care Agency	$0	$11.3M
Accessible Space Inc.	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Quality Health Partners Inc	NV	Health Service Clinic/Center	$0	$6.9M

Neri M. Blanco, Md, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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