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

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

Kara Perez (NPI 1316987092)

Field	Value
Entity Type	Individual
Organization	Kara Perez
Address	310 6th St Ne
City	Auburn
State	WA
ZIP	98002
Taxonomy	Medical Physician Assistant
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicare	$5.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	100	$30	$2.4K
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…	20	$50	$1K
60500	In the traditional procedure of parathyroid exploration, the provider surgically visualizes and screens the parathyroid glands for pathology based on their appearance and relative size. He may then…	10	$70	$910
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,…	30	$30	$800

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Kara Perez — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
60500	8	10	20	$610	$11K
99213	8,174	9,690	60	$60	$6.5K
69210	70	240	50	$30	$2.9K
99212	926	1,790	30	$40	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
We Care Daily Clinics LLC	WA	Methadone Clinic	$166.2K	$260.6M
Apple Physical Therapy, LLC	WA	Physical Therapist	$0	$31.3M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$14.5M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$3M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$2.7M
Rahul Mandiga	WA	Retina Specialist (Ophthalmology) Physician	$1.9M	$1.3K
Benjamin Reiss	WA	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
South Sound Surgery, PLLC	WA	Ambulatory Surgical Clinic/Center	$137.6K	$457K
Joshua Frenkel	WA	Ophthalmology Physician	$306.8K	$0
Ashish Trivedi	WA	Specialist	$295.5K	$0

Kara Perez — Billing Profile & Reimbursement Data

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Kara Perez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References