Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoberto Ycaza
    Ask Trek AI about this page

    Roberto Ycaza — Billing Profile & Reimbursement Data

    NPI 1437110236 · Bradenton, FL · Interventional Pain Medicine Physician

    Customize your policy alerts

    Sign up for Roberto Ycaza — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Roberto Ycaza is a interventional pain medicine physician provider located in Bradenton, Florida. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRoberto Ycaza
    Address2105 Manatee Ave E
    CityBradenton
    StateFL
    ZIP34208
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedMarch 31, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$259.1K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…1,040$90$97K
    99213The 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…860$60$51.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).70$220$15.1K
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2,600$10$13K
    99204The provider sees a new 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 provider…100$120$12K
    0275TN/A20$750$12K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…70$140$9.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…70$130$8.7K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…100$90$8.7K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110$60$6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0275T609020$2,390$71.6K
    6463534056040$400$26.4K
    992141,72432,760140$90$25K
    6448326664050$210$21.6K
    6449331973050$190$17K
    6232340158050$170$14.8K
    992131,20830,01080$60$12K
    6463627343040$160$10.3K
    2709612154040$130$7.2K
    206109832,83060$50$7K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gregory BenedictFLPain Medicine (Physical Medicine & Rehabilitation) Physician$556.3K$0
    Jay KucheraFLAnesthesiology Physician$509.7K$0
    Loel WarschFLAnesthesiology Physician$495.1K$0
    Noor YonoFLNeurology Physician$480K$0
    Rabih KashoutyFLNeurology Physician$309.5K$0
    Gazelle AramFLPain Medicine (Anesthesiology) Physician$287.5K$0
    Kelly De SouzaFLPain Medicine (Anesthesiology) Physician$86.3K$0
    Javier Sanchez MartinezFLInterventional Pain Medicine Physician$83.4K$0
    Patrick RuddyFLAnesthesiology Physician$23.6K$0
    Eugenio OliverosFLAnesthesiology Physician$21.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manatee Memorial Hospital L PFLGeneral Acute Care Hospital$0$22.4M
    Centerstone Of Florida, Inc.FLMental Health Clinic/Center (Including Community Mental Health Center)$0$12.7M
    Philip AmesFLOphthalmology Physician$3.5M$350
    Dwight FitchFLRadiation Oncology Physician$1.5M$0
    Federico RichterFLPhlebology Physician$795.8K$0
    Mary KoshyFLRadiation Oncology Physician$716K$0
    Kate GerberFLDermatology Physician$414.4K$0
    Justin SirianniFLAnesthesiology Physician$375.3K$0
    Robert EdelmanFLOphthalmology Physician$370.7K$0
    Jeffrey DavisFLOphthalmology Physician$355.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Roberto Ycaza — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida