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.

Derek Senior (NPI 1447632088)

Field	Value
Entity Type	Individual
Organization	Derek Senior
Address	2430 W Pierce St
City	Carlsbad
State	NM
ZIP	88220
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 19, 2015

Payer Source	Total Paid
Medicare	$67.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$170	$20.8K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$90	$17.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$130	$12.9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	120	$90	$10.6K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.9K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	20	$110	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Derek Senior — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	90	520	60	$90	$10.4K
99291	32	340	40	$160	$9.5K
99232	594	830	60	$60	$7.3K
99223	67	490	30	$130	$7.3K
99239	48	320	50	$90	$5.5K
99222	271	470	20	$90	$3.2K
31500	2	10	10	$110	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Las Cruces Hb Medical Services LLC	NM	Emergency Medicine Physician	$0	$3.4M
Thomas Wulf	NM	Family Medicine Physician	$196.4K	$0
Brian Cashin	WA	Emergency Medicine Physician	$107.6K	$0
Carlos Echevarria	AZ	Phlebology Physician	$101.5K	$0
Elias Said	NM	Emergency Medicine Physician	$58.5K	$18.4K
Emmanuel Gallegos	NM	Emergency Medicine Physician	$73.5K	$0
Jorge Partida	NM	Emergency Medicine Physician	$65.7K	$0
Tahir Mahmood	NM	Hospitalist Physician	$54.7K	$0
David Agyapong	NM	Internal Medicine Physician	$54.5K	$0
Ryan Villegas	WY	Internal Medicine Physician	$51.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlsbad Medical Center LLC	NM	General Acute Care Hospital	$0	$26.4M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$9.2M
Pecos Valley Of New Mexico, LLC	NM	General Practice Physician	$0	$6.4M
Carlsbad Lifehouse Inc	NM	Community/Behavioral Health Agency	$0	$4.5M
Carc, Inc.	NM	Community/Behavioral Health Agency	$0	$4.3M
Caring Angels, LLC	NM	Home Infusion Agency	$0	$3.9M
Raney Pediatrics	NM	Pediatrics Physician	$0	$3.4M
Familia Dental Carlsbad LLC	NM	General Practice Dentistry	$0	$2.5M
City Of Carlsbad	NM	Land Ambulance	$390.4K	$1.3M
Michael Lim	NM	Ophthalmology Physician	$75K	$1.6M

Derek Senior — Billing Profile & Reimbursement Data

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Derek Senior — 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