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

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

Ileana Lopez Plaza (NPI 1396727715)

Field	Value
Entity Type	Individual
Organization	Ileana Lopez Plaza
Address	750 Washington St #826
City	Boston
State	MA
ZIP	02111
Taxonomy	Clinical Pathology/Laboratory Medicine Physician
NPI Enumerated	November 20, 2005
NPI Deactivated	July 17, 2007

Payer Source	Total Paid
Medicare	$3.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
85390	A physician or nonphysician lab professional provides interpretation and report of lab tests to evaluate fibrinolysis and coagulation.	90	$30	$2.5K
86078	The blood bank physician investigates a transfusion reaction, including the possible transmission of disease. She then interprets the results and provides a written report.	10	$40	$550

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Ileana Lopez Plaza — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
85390	6	10	90	$30	$10.4K
86078	5	10	10	$40	$850

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Pathology	MI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.9M
John Carey	MI	Immunopathology Physician	$1.3M	$220
Cigdem Ussakli	MI	Anatomic Pathology & Clinical Pathology Physician	$85.2K	$0
Joseph Montecalvo	MI	Anatomic Pathology & Clinical Pathology Physician	$64K	$0
Ziying Zhang	MI	Anatomic Pathology & Clinical Pathology Physician	$49K	$0
Nazila Azordegan	MI	Anatomic Pathology Physician	$46.5K	$0
Hayan Jaratli	MI	Anatomic Pathology & Clinical Pathology Physician	$45.5K	$0
Lisi Yuan	MI	Anatomic Pathology & Clinical Pathology Physician	$41.6K	$0
Yijun Pang	MI	Anatomic Pathology & Clinical Pathology Physician	$41.2K	$0
Zhiqiang Wang	MI	Anatomic Pathology & Clinical Pathology Physician	$38.3K	$0

Nearby Providers

Other providers in the same ZIP code as Ileana Lopez Plaza, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tufts Medical Center, Inc.	MA	General Acute Care Hospital	$0	$164.6M
Boston Senior Home Care	MA	Case Management Agency	$0	$118.8M
Boston Senior Home Care	MA	Case Management Agency	$0	$38.9M
South Cove Community Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$20.5M
Trustees Of Tufts College	MA	Dental Clinic/Center	$0	$18.2M
Pratt Pediatric Associates Inc	MA	Pediatrics Physician	$0	$7.7M
Boston Center For Independent Living, Inc.	MA	Personal Care Attendant	$0	$7.2M
Tufts Medical Center Ep LLC	MA	Emergency Medicine Physician	$0	$6.6M
Minping Liu	MA	Internal Medicine Physician	$14.7K	$6.6M
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0

Ileana Lopez Plaza — Billing Profile & Reimbursement Data

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Ileana Lopez Plaza — 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