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

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

Luis Guillermo Vega (NPI 1407875958)

Field	Value
Entity Type	Individual
Organization	Luis Guillermo Vega
Address	6520 226th Place Se
City	Issaquah
State	WA
ZIP	98027
Taxonomy	Oral & Maxillofacial Surgery (D.M.D.)
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$1.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	10	$60	$660
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$20	$340
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	10	$30	$290
70355	The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.	10	$10	$80

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Luis Guillermo Vega — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99203	2,858	3,140	30	$70	$3.3K
99212	1,464	1,790	30	$40	$1.8K
70486	226	240	20	$40	$1.3K
70355	8	10	20	$10	$270

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vanderbilt University Medical Center	TN	General Acute Care Hospital	$0	$137.7M
Anita Agarwal	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K
Stephen Kim	TN	Ophthalmology Physician	$608.9K	$0
Lan Gellert	TN	Anatomic Pathology & Clinical Pathology Physician	$413.3K	$0
Jeffrey Kammer	TN	Ophthalmology Physician	$329.2K	$0
Daniel Weikert	TN	Ophthalmology Physician	$318K	$140
Joel Phares	TN	Cardiovascular Disease Physician	$274.6K	$28.6K
Todd Wurth	TN	Orthopaedic Hand Surgery Physician	$246.2K	$430
Ravinder Manda	TN	Cardiovascular Disease Physician	$226.5K	$3.5K

Nearby Providers

Other providers in the same ZIP code as Luis Guillermo Vega, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
King Co Fire Dist No 10	WA	Land Ambulance	$382.5K	$11.3M
Connie Chen	WA	Ophthalmology Physician	$670.6K	$0
The Eastside Endoscopy Center, LLC	WA	Ambulatory Surgical Clinic/Center	$515.9K	$10.4K
Eastside Medical Group, LLC	WA	Ambulatory Surgical Clinic/Center	$505.8K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$259.5K	$0
Matthew Gordon	WA	Dermatology Physician	$255.6K	$0
Victor Michalak	WA	Specialist	$242.7K	$0
Arlo Miller	WA	Dermatology Physician	$225.7K	$0
Jason Kim	WA	Pain Medicine (Anesthesiology) Physician	$216.4K	$0
Lora Plaskon	WA	Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician	$185.7K	$0

Luis Guillermo Vega — Billing Profile & Reimbursement Data

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Luis Guillermo Vega — 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