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

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

Millicent Rovelo (NPI 1326280371)

Field	Value
Entity Type	Individual
Organization	Millicent Rovelo
Address	465 N Roxbury Dr Ste 1001
City	Beverly Hills
State	CA
ZIP	90210
Taxonomy	Plastic Surgery Physician
NPI Enumerated	April 6, 2009

Payer Source	Total Paid
Medicare	$6.1M
Medicaid	$0

Key Findings

This provider is effectively single‑payer Medicare: Total Medicare revenue is $6.1M and there is no Medicaid billing on file, indicating the practice’s Medicare activity constitutes the entirety of its public-payer footprint. Analysts should treat this profile as Medicare‑centric when modeling payer mix or access patterns for BEVERLY HILLS, CA.

Revenue is highly concentrated in a narrow set of services: the precomputed top 3 Medicare codes by revenue account for 89.5% of this provider's total Medicare revenue, with Q4236 alone representing $4.7M (76.0% of Medicare revenue). That concentration suggests the business is largely driven by one dominant product/service line rather than a broad mix of Medicare procedures.

The code mix indicates a specialty focus on advanced wound care and skin substitutes combined with substantial home/residence visits: dominant codes include Q4236 (Carepatch, per square centimeter), Q4188 (Amnioarmor), and 97610 (low‑frequency ultrasound for wound healing). Multiple debridement codes (11042/11043/11044 and related add‑ons) and skin substitute code 15271 further support an operational emphasis on complex wound management and reconstructive wound care.

Competitive standing for the largest revenue driver is mixed: Q4236 generates $4.7M and the provider ranks #12 of 79 nationally (86th percentile) for that code, described as “typical, unremarkable volume for this code.” In other words, although Q4236 dominates this provider’s revenue, their national activity for that specific code is within the expected range for providers who bill it.

Several services are statistical outliers in national rankings and indicate above‑typical specialization: 99349 (home/residence established patient visit) is labeled an “extreme outlier” and ranks #86 of 14,284 providers (99th percentile) with $231.3K (3.8% of Medicare revenue), while 15271 (skin substitute up to 25 cm2) also ranks in the 99th percentile (extreme outlier) with $63.7K (1.0%). These high percentiles for home visits and skin substitute use point to a business model that provides intensive, resource‑heavy wound care beyond average peer practice.

Other procedure volumes also sit well above typical: 97610 (low‑frequency ultrasound) produces $397.5K (6.5% of revenue) and ranks #17 of 320 providers (95th percentile; noted as “notably above typical national volume”), and 11043 (debridement to muscle/fascia) yields $161.8K (2.6%) and ranks #121 of 2,062 (94th percentile). Collectively, these elevated percentiles across wound‑care modalities reinforce that the provider is a high‑volume, above‑typical performer in advanced wound therapies among Medicare peers.

Despite high specialization in wound care, some add‑on or ancillary codes show more modest national standing: Q4188 (Amnioarmor) accounts for $433.2K (7.0%) but ranks #39 of 47 providers (17th percentile) and is described as “typical, unremarkable volume for this code,” indicating variability in how widely certain skin‑substitute products are used relative to the small national cohort reporting them. This mix of very high percentiles for some services and low percentiles for others suggests a practice that concentrates on a subset of advanced therapies while using other products less commonly than a few peers.

Tenure and potential market implications: the provider’s NPI was enumerated on 2009-04-06 (~17 years ago), indicating a long operational history that could support the sustained build‑out of a specialized wound‑care program. For payers and competitor analysts, this tenure combined with concentrated Medicare revenue and several extreme/above‑typical code percentiles signals an established, niche wound‑care operator in BEVERLY HILLS rather than a generalist or new entrant.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	4,870	$960	$4.7M
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	560	$770	$433.2K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	950	$420	$397.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	2,200	$110	$231.3K
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…	810	$200	$161.8K
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.	540	$120	$63.7K
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.	730	$80	$60.1K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	310	$90	$27.7K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	410	$50	$21.7K
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	420	$50	$20.4K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Millicent Rovelo — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	8	20	3,950	$960	$6.2M
Q4188	28	30	1,120	$750	$1.1M
97610	8	50	260	$390	$182.8K
11043	43	370	120	$170	$52.1K
99309	736	1,790	210	$80	$48.1K
99349	18	870	110	$90	$31.7K
11044	78	110	60	$240	$29.1K
11046	102	160	270	$50	$24.2K
15271	9	170	110	$110	$18.6K
11042	50	1,030	100	$80	$18.1K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Johnson Lee	CA	Plastic Surgery Physician	$22.5M	$0
James Michail	CA	Geriatric Medicine (Family Medicine) Physician	$20.4M	$86.8K
Gautam Bhakta	CA	Internal Medicine Physician	$19M	$0
Jack Azad	CA	General Practice Physician	$17.2M	$0
Ravindra Gautam	CA	Internal Medicine Physician	$13M	$0
Charles Atkinson	AZ	Surgery Physician	$5.7M	$0
David Boyer	CA	Ophthalmology Physician	$5.6M	$3.4K
Homayoun Tabandeh	CA	Ophthalmology Physician	$5.1M	$6.8K
Ash Pirouz	CA	Retina Specialist (Ophthalmology) Physician	$3.1M	$1.3M
NPI 1821442666	—	—	$4.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Natan Shaoulian	CA	Neurology Physician	$7.3M	$0
Raymond Douglas	CA	Ophthalmology Physician	$4.1M	$0
Laboratory Medicine Consultants Inc.	CA	Clinical Medical Laboratory	$1.6M	$1.6M
Bobby Pourziaee	CA	Foot & Ankle Surgery Podiatrist	$2.5M	$0
Jasmine Aghajani	CA	Oral and Maxillofacial Surgery (Dentist)	$2M	$277.5K
Satinder Bhatia	CA	Cardiovascular Disease Physician	$1.9M	$0
90210 Surgery Medical Center, LLC	CA	Ophthalmologic Surgery Clinic/Center	$1.6M	$5.1K
Ronald Karlsberg	CA	Cardiovascular Disease Physician	$1.2M	$0
Raghu Murthy	CA	Ophthalmology Physician	$1M	$3.8K
Precision Ambulatory Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$973.4K	$0

Millicent Rovelo — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References