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.

Byron Erstine (NPI 1487847174)

Field	Value
Entity Type	Individual
Organization	Byron Erstine
Address	2907 Hillrise Dr
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Otolaryngology/Facial Plastic Surgery Physician
NPI Enumerated	August 25, 2007

Payer Source	Total Paid
Medicare	$52.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	200	$60	$12.5K
99204	The 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…	90	$110	$10.2K
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…	110	$90	$9.2K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	80	$90	$7.4K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	50	$130	$7K
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.	30	$90	$2.9K
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…	30	$60	$1.8K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	30	$30	$990

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Byron Erstine — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,233	2,700	90	$70	$12.9K
99213	459	2,440	60	$50	$7.3K
31231	13	30	40	$100	$4.6K
99204	132	1,210	30	$100	$4.5K
99203	411	870	30	$60	$3.3K
31575	6	30	40	$70	$3.1K
69210	33	70	30	$30	$1.6K
70486	13	50	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Sinus Institute PLLC	NM	Otolaryngology Physician	$0	$6.1M
Matthew Hinsley	OR	Otolaryngology Physician	$112.4K	$0
Ian Alexander	TX	Otolaryngology Physician	$111.9K	$0
Peter Shepard	OR	Otolaryngology/Facial Plastic Surgery Physician	$71.8K	$0
Seema Sabu	NM	Physician Assistant	$68.4K	$0
Joe Tumalad	NM	Nurse Practitioner	$58.8K	$0
Stacey King	NM	Family Nurse Practitioner	$58.1K	$0
Stephen Janway	NM	Family Nurse Practitioner	$44.3K	$0
Kami Daily	NM	Family Nurse Practitioner	$41.3K	$0
Jesse Knight	UT	Otolaryngology Physician	$40.3K	$0

Byron Erstine — Billing Profile & Reimbursement Data

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Byron Erstine — 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

Frequently Asked Questions

References