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

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

Carmen Avendano (NPI 1356769996)

Field	Value
Entity Type	Individual
Organization	Carmen Avendano
Address	2450 Riverside Ave
City	Minneapolis
State	MN
ZIP	55454
Taxonomy	Pediatric Emergency Medicine (Emergency Medicine) Physician
NPI Enumerated	April 1, 2014

Payer Source	Total Paid
Medicare	$21.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	90	$130	$11.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$170	$4.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	40	$90	$3.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	130	$10	$750
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	$50	$590
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	120	$10	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Carmen Avendano — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	571	1,150	90	$130	$13.8K
99291	646	1,150	30	$160	$7.5K
99284	844	1,200	50	$80	$5.2K
99283	582	620	20	$50	$1.3K
93010	355	1,000	90	$10	$1.2K
93042	3	20	60	$1	$370

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Suburban Emergency Associates, P.A.	MN	Nurse Practitioner	$0	$5.2M
Nicholas Abram	MN	Emergency Medicine Physician	$79.4K	$1.3K
Kenneth Dodd	MN	Critical Care Medicine (Internal Medicine) Physician	$47.4K	$19K
Jonathan Pohland	MN	Emergency Medicine Physician	$27.8K	$0
Eric Chen	MN	Emergency Medicine Physician	$24.6K	$0
Francis Madore	MN	Emergency Medicine Physician	$24.3K	$0
Richard Lee	MN	Emergency Medicine Physician	$23.5K	$0
Steven Souchtchenko	MN	Emergency Medicine Physician	$21K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Kalkaal Home Care, Inc	MN	Home Health Agency	$0	$18.3M
Cedar Riverside People's Center	MN	Federally Qualified Health Center (FQHC)	$0	$15.3M
Loving Arms Adult Care	MN	Community/Behavioral Health Agency	$0	$7.9M
Mgm Home Care, Inc.	MN	Home Health Agency	$0	$7.1M
Smart Choice Adult Day Care LLC	MN	Community/Behavioral Health Agency	$0	$7M
University Of Minnesota Pediatric Dental Clinic	MN	Dentist	$0	$4.7M
Justin Miles	MN	Psychiatry Physician	$134.3K	$0
Daniel Popa	MN	Emergency Medicine Physician	$27.1K	$100.7K

Carmen Avendano — Billing Profile & Reimbursement Data

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Carmen Avendano — 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