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

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

Tony Flores (NPI 1316377591)

Field	Value
Entity Type	Individual
Organization	Tony Flores
Address	3801 Spring St
City	Mount Pleasant
State	WI
ZIP	53405
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	November 25, 2013

Payer Source	Total Paid
Medicare	$12.4K
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
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	20	$220	$3.5K
01402	The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.	20	$210	$3.5K
01810	The provider performs anesthesia services for a patient undergoing any procedures on the nerves, muscles, tendons, fascia, and bursae of the forearm, wrist, and hand.	20	$110	$2.2K
64447	The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…	30	$40	$1.2K
62322	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	20	$60	$940
64415	The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…	20	$50	$780
64999	Use 64999 to report procedures in the nervous system that do not have a specific code.	20	$20	$320

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. Wisconsin Distribution

Tony Flores — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01402	107	230	20	$160	$3.3K
62322	2	10	20	$70	$3.1K
01214	40	110	10	$160	$2.7K
01810	11	50	10	$70	$1.2K
64415	31	70	20	$50	$930
64447	25	130	20	$40	$910
64999	10	30	20	$20	$410

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Parag Panchal	WI	Anesthesiology Physician	$61.9K	$0
Gregory Felsheim	WI	Anesthesiology Physician	$54.6K	$0
Jessica Holland	WI	Certified Registered Nurse Anesthetist	$50.4K	$0
Johnny Barnes	TN	Certified Registered Nurse Anesthetist	$43K	$0
Manfred Kreuzpaintner	WI	Pain Medicine (Anesthesiology) Physician	$42.2K	$0
Peter Blochowicz	WI	Certified Registered Nurse Anesthetist	$34.7K	$0
Marry Williams	AZ	Certified Registered Nurse Anesthetist	$29.7K	$0
David Hasler	SC	Anesthesiology Physician	$27.1K	$0
Sohail Kakezai	FL	Anesthesiology Physician	$25.5K	$0
Vasil Mamaladze	MI	Anesthesiology Physician	$24.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension All Saints Hospital, Inc	WI	General Acute Care Hospital	$0	$70.1M
Racine Tooth Town Dentistry For Kids	WI	Dental Clinic/Center	$0	$6.5M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.4M
Inder Singh	WI	Ophthalmology Physician	$272.4K	$0
Elizabeth Ralston	WI	Family Nurse Practitioner	$175.2K	$68.6K
Muhammad Sarki	WI	Interventional Cardiology Physician	$213.4K	$0
Radha Sanka	WI	Ophthalmology Physician	$211.6K	$0
Thomas Matkov	WI	Urology Physician	$138.7K	$0
Eki Drake	WI	Adult Health Nurse Practitioner	$121K	$3.7K
Shariff Attaya	WI	Clinical Cardiac Electrophysiology Physician	$92.2K	$0

Tony Flores — Billing Profile & Reimbursement Data

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Tony Flores — 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