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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Emilio Rivera (NPI 1366410276)

Field	Value
Entity Type	Individual
Organization	Emilio Rivera
Address	5290 Mcnutt Rd
City	Santa Teresa
State	NM
ZIP	88008
Taxonomy	Family Medicine Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$45.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	370	$90	$33.9K
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…	60	$60	$3.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	40	$70	$2.5K
00812	The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…	20	$120	$1.9K
00813	The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…	10	$120	$1.6K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	20	$80	$1.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$10	$650
G0444	Annual depression screening, 5 to 15 minutes	20	$20	$370
G0008	Administration of influenza virus vaccine	20	$20	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Emilio Rivera — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,033	2,700	90	$70	$12.9K
00142	10	80	60	$80	$11.8K
99213	1,236	2,440	60	$50	$7.3K
90694	159	200	40	$70	$5.5K
G0008	372	480	60	$30	$3K
36415	148	360	60	$10	$3K
00813	38	60	20	$120	$2.8K
00812	37	60	20	$100	$2.7K
G0444	86	110	50	$20	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Las Cruces Physician Practices, LLC	NM	Family Medicine Physician	$0	$22.8M
Main Street Anesthesia Of New Mexico, LLC	NM	Anesthesiology Physician	$0	$4.4M
Las Cruces Hb Medical Services LLC	NM	Emergency Medicine Physician	$0	$3.4M
Doctors Of Santa Teresa PC	NM	Family Medicine Physician	$0	$1.8M
Jesus Gomez	TX	Medical Oncology Physician	$1.3M	$0
Jose Ramirez	NM	Interventional Pain Medicine Physician	$403.1K	$1.9K
Lynne Bui	CA	Hematology & Oncology Physician	$309.4K	$0
Llewelyn Williams	NM	Pain Medicine (Anesthesiology) Physician	$244.4K	$0
Cesar Velarde	NM	Interventional Pain Medicine Physician	$240.2K	$0
Diego Gonzalez	NM	Interventional Pain Medicine Physician	$189.6K	$29.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
At-home Personal Care Services LLC.	NM	Home Health Agency	$0	$88.1M
Sbh El Paso, LLC	NM	Psychiatric Hospital	$0	$42.3M
Amanecer Community Counseling Center	NM	Community/Behavioral Health Agency	$0	$22.1M
Direct Healthcare South Inc	NM	Home Health Agency	$0	$9M
Nm Family Services LLC	NM	Physical Therapist	$0	$8M
Buen Salud Inc	NM	Community/Behavioral Health Agency	$0	$4.2M
Thrive Wellness And Rehab, P.L.L.C	NM	Physical Therapist	$0	$4.1M
Rio Valle Behavioral Health Centre	NM	Psychiatry Physician	$0	$2.7M
Santa Teresa Family Medical Center	NM	Clinic/Center	$0	$2M
Waypoint Transportation Agency LLC.	NM	Non-emergency Medical Transport (VAN)	$0	$1.7M

Emilio Rivera — 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