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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Elena Ruiz-rios (NPI 1285804708)

Field	Value
Entity Type	Individual
Organization	Elena Ruiz-rios
Address	3020 14th St Nw
City	Washington
State	DC
ZIP	20009
Taxonomy	Pediatrics Physician
NPI Enumerated	March 12, 2008

Payer Source	Total Paid
Medicaid	$7.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

25 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…	120	$50	$5.3K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	20	$110	$1.7K
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…	160	$1	$470
1036F	N/A	30	$0	$0
1159F	No Summary found for this code	20	$0	$0
1160F	No Summary found for this code	20	$0	$0
1220F	No Summary found for this code	30	$0	$0
2001F	No Summary found for this code	30	$0	$0
2010F	No Summary found for this code	40	$0	$0
3008F	No Summary found for this code	30	$0	$0

Showing 1–10 of 25

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Elena Ruiz-rios — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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,…	65	130	290	$140	$579.2K
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…	232	310	750	$70	$321.6K
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…	221	320	620	$50	$313.6K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	4	10	630	$90	$69K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	23	40	250	$10	$39.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	33	60	260	$30	$30.7K
97802	The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…	14	20	90	$80	$22K
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.	9	10	800	$10	$19.2K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	24	30	150	$10	$17.6K
85018	The lab analyst measures the hemoglobin in a whole blood sample. Hemoglobin is the red pigmented iron compound contained in the red blood cell that combines with oxygen needed by the body tissue.	19	20	2,410	$1	$6.3K

Showing 1–10 of 25

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elena Ruiz-rios, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Care Community Health Center, Inc	CA	PACE Provider Organization	$0	$72.6M
Friends Of Family Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$66.2M
Unity Health Care, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$48M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$16.8M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$10.2M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$8.9M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$7.4M
Neighborhood Health	VA	Federally Qualified Health Center (FQHC)	$0	$5.8M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$5.3M
Srikanth Naramala	CA	Rheumatology Physician	$2.8M	$0

Nearby Providers

Other providers in the same ZIP code as Elena Ruiz-rios, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$56.6M
Community Of Hope, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$3.6M
La Clinica Del Pueblo, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$2.7M
Core Dc LLC	DC	Case Management Agency	$0	$2.6M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Sharmin Dental Clinic, P.C.	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Nuvaya, Inc	DC	Substance Abuse Rehabilitation Facility	$0	$1.6M
Samuel Antwi	DC	Family Nurse Practitioner	$16K	$1.5M
Lenox Medical Supply Services, LLC	DC	Durable Medical Equipment & Medical Supplies	$0	$1M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$834.7K

Elena Ruiz-rios — Billing Profile & Reimbursement Data

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Elena Ruiz-rios — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References