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

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

Manuel Urbina (NPI 1346767266)

Field	Value
Entity Type	Individual
Organization	Manuel Urbina
Address	3016 N Mccoll Rd Ste C
City	Mcallen
State	TX
ZIP	78501
Taxonomy	Nephrology Physician
NPI Enumerated	August 23, 2017

Payer Source	Total Paid
Medicare	$146.9K
Medicaid	$0

Key Findings

Practice footprint and service line: The CPT mix is dominated by endovascular dialysis-access interventions and angiography (for example 36905, 36902 and 36215), indicating this Nephrology Physician is operating as an interventional dialysis-access provider rather than a general outpatient clinic. Codes such as 36905 (thrombectomy and angioplasty), 36902 (diagnostic angiography with balloon dilation), and routine angiography codes point to an interventional suite or ambulatory procedure workflow that performs clot removal, angioplasty, and diagnostic imaging for dialysis circuits.

Revenue concentration: This provider’s Medicare revenue is concentrated in a small set of high-value procedures — the precomputed top three codes account for 76.7% of total Medicare revenue, with 36905 alone representing 41.5% of Medicare revenue. Total Medicare revenue reported is $146.9K, so these three angiography/thrombectomy/angioplasty codes are the primary revenue drivers for this practice.

Payer mix and scale: The provider is effectively single-payer at the public program level — Total Medicare revenue is $146.9K while Medicaid revenue is none (no Medicaid billing on file). That absence of Medicaid activity indicates the provider’s billed caseload and public-sector exposure are concentrated entirely in Medicare beneficiaries.

Competitive standing on top codes: National ranks and percentiles for the top CPTs place the provider in modest-to-moderate positions rather than as a dominant national player; 36905 ranks #109 of 396 (72th percentile), 36902 ranks #773 of 1666 (53th percentile), and 36215 ranks #90 of 293 (69th percentile). The dataset labels these volumes as "typical, unremarkable volume," which supports the interpretation that the practice operates at expected specialty-level volumes for these interventional codes.

Ancillary utilization and supported services: The claim mix includes procedural support codes and drugs consistent with in‑procedure care — J2997 (alteplase) appears with 84 claims and $5.8K revenue (4.0% of Medicare revenue), and procedural sedation codes 99152 and 99153 are present, indicating use of monitored sedation during interventions. Supply and contrast items such as Q9967 appear in large claim counts but show $0 revenue in the file, which suggests contrast was billed but not separately reimbursed in these Medicare records.

Operational scale and business implication: With Total Medicare revenue of $146.9K and the top codes concentrated in a narrow range of interventional dialysis procedures, the provider likely operates a small, procedure-focused practice or performs interventional sessions on a part-time basis relative to larger interventional groups. The reliance on a few high-revenue CPTs (top three = 76.7%) implies limited service-line diversification within Medicare.

Tenure and credentialing: The provider’s NPI was enumerated on 2017-08-23 (~9 years ago), indicating several years of billing history under this NPI; that tenure is sufficient to establish a measurable national ranking on multiple interventional CPTs but not indicative of long multi-decade presence. Continuity since 2017 supports the stability of the observed code mix.

Statistical outlier assessment: Across the highest-revenue CPTs the provider is not flagged as an extreme outlier — the list’s narrative repeatedly describes the top codes as "typical, unremarkable volume" versus national peers, and percentile positions (for example 72th, 53th, and 69th percentiles) are consistent with an ordinary specialty-level footprint rather than anomalous billing behavior.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36905	Under fluoroscopic guidance (live X–rays that can be viewed on a monitor), the provider introduces a catheter into a vessel in the dialysis circuit and extracts a blood clot (hematoma) with special…	40	$1,740	$60.8K
36902	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects contrast material into the dialysis access point to visualize…	30	$920	$31.3K
36215	The provider advances a catheter into each first order thoracic or brachiocephalic branch within a vascular family, typically to perform angiography of these arteries.	60	$330	$20.1K
36901	The provider introduces a needle and/or catheter under fluoroscopic guidance (live X–rays that can be viewed on a monitor) and injects intravenous contrast material to visualize and record images of…	20	$520	$9.4K
36907	During a primary procedure on a patient's dialysis circuit, the provider finds an obstructedcentralsegment, which he dilates and opens up using a balloon expanded within the vessel lumen (channel).…	20	$450	$9K
75710	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	60	$100	$6.1K
J2997	Injection, alteplase recombinant, 1 mg	80	$70	$5.8K
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	110	$30	$3.3K
99153	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…	70	$10	$550
J3010	Injection, fentanyl citrate, 0.1 mg	50	$1	$50

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Manuel Urbina — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
36905	1	50	30	$2,130	$76.6K
36902	2	140	40	$860	$68.2K
36215	1	40	50	$330	$22.8K
36907	1	50	20	$350	$13.2K
36901	1	90	30	$360	$12.6K
J2997	1	20	80	$70	$6.8K
75710	1	240	30	$90	$3.3K
99152	1	1,670	50	$10	$1.1K
99153	2	220	70	$10	$970
Q9967	4	1,060	3,780	$1	$920

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashwani Sastry	NC	Vascular Surgery Physician	$1.3M	$0
Ngozi Okoba	TX	Nephrology Physician	$1.1M	$0
Chijioke Ogbu	TX	Nephrology Physician	$685.8K	$0
Sreejit Nair	NC	Vascular Surgery Physician	$658K	$0
Mena Habib	TX	Nephrology Physician	$656.9K	$0
Benjamin Lee	TX	Nephrology Physician	$610.3K	$0
Lofton Misick	TX	Vascular Surgery Physician	$375K	$0
Wilfrido Castaneda	MN	Diagnostic Radiology Physician	$151.2K	$0
Fermin Romero-arreola	TX	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$98K	$39.5K
Guillermo Perez	TX	Surgery Physician	$25K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Care Unlimited, Inc	TX	Home Health Agency	$0	$67.8M
Hjc Home Health Care Services, Inc.	TX	Home Health Agency	$0	$36.8M
Legacy Home Care Services, Inc.	TX	Home Health Agency	$0	$30.6M
El Jardin Provider Services, LLC.	TX	Personal Care Attendant	$0	$28M
Easter Seals Rio Grande Valley	TX	Developmental Disabilities Clinic/Center	$0	$25.1M
Iph Primary Home Care, Inc.	TX	Home Health Agency	$0	$23.8M
Cielo Azul Provider Services, LLC.	TX	Personal Care Attendant	$0	$22M
With Open Arms Healthcare, LLC	TX	Home Health Agency	$0	$20.2M
Fuera Investment Group LLC	TX	Personal Care Attendant	$0	$19.4M
Regency Ihs Hospice Services LLC	TX	Community Based Hospice Care Agency	$0	$15.9M

Manuel Urbina — 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