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

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

Cesar Hidalgo (NPI 1477530806)

Field	Value
Entity Type	Individual
Organization	Cesar Hidalgo
Address	595 Barclay Cir
City	Rochester Hills
State	MI
ZIP	48307
Taxonomy	Neurology Physician
NPI Enumerated	December 28, 2005

Payer Source	Total Paid
Medicare	$167.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	390	$90	$36.4K
95816	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	110	$300	$33.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	110	$160	$18.2K
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…	110	$140	$15.7K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	150	$80	$11.6K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	50	$210	$10.1K
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…	140	$70	$9.5K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	50	$160	$7.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	40	$140	$5.8K
92653	In this procedure, the provider measures the patient’s response to sound stimuli to diagnose a neurological disorder. The service includes an interpretation and report.	60	$70	$3.9K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Cesar Hidalgo — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	4,763	6,730	90	$60	$12K
99214	1,277	15,470	80	$80	$11.4K
95819	46	130	30	$160	$9.5K
99223	755	4,880	40	$130	$8.3K
95816	12	130	30	$150	$6.7K
99213	3,628	14,810	60	$60	$6.6K
95886	53	300	60	$70	$6.1K
99215	1,586	4,420	30	$110	$6K
95911	21	100	20	$150	$5.3K
99205	21	1,680	20	$150	$4.3K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Rochester Hospital	MI	General Acute Care Hospital	$0	$12M
Pediatric Consultants Of Troy, P.C.	MI	Pediatrics Physician	$0	$6.1M
Osi, LLC	MI	Ambulatory Surgical Clinic/Center	$1.8M	$0
Rochester Endoscopy & Surgery Center, L.L.C.	MI	Ambulatory Surgical Clinic/Center	$1.2M	$1.4K
Ayad Abrou	MI	MOHS-Micrographic Surgery Physician	$1.1M	$0
David Byrd	MI	MOHS-Micrographic Surgery Physician	$829.3K	$0
Delfin Santos	MI	Rheumatology Physician	$743K	$0
Zakwan Mahjoub	MI	Interventional Cardiology Physician	$687K	$0
Mukesh Shah	MI	Hematology & Oncology Physician	$619.3K	$0
Farah Dawood-farah	MI	Endocrinology, Diabetes & Metabolism Physician	$533.3K	$0

Cesar Hidalgo — Billing Profile & Reimbursement Data

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Cesar Hidalgo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References