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

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

Ramel Carlos (NPI 1508828062)

Key Findings

Field	Value
Entity Type	Individual
Organization	Ramel Carlos
Address	241 Farenholt Ave
City	Tamuning
State	GU
ZIP	96913
Taxonomy	Neurology Physician
NPI Enumerated	April 3, 2006

Payer Source	Total Paid
Medicare	$189.5K
Medicaid	$0

This provider is effectively single-payer in scale: lifetime Medicare revenue is $189.5K and there is no Medicaid billing on file, so Medicare accounts for the entirety of recorded public-payer activity. The practice’s revenue is highly concentrated in a few Medicare codes — the top 3 Medicare codes by revenue account for 59.5% of this provider's total Medicare revenue — indicating dependence on a small set of services for most billed revenue.

99214 is the dominant revenue driver: 99214 accounts for $69.8K (36.7% of Medicare revenue) across 727 claims with an average paid/claim of $96, and it ranks #24203 of 479517 providers nationally (95th percentile). This places the provider notably above typical national volume for that E/M office-visit code and signals a practice model centered on established outpatient visits.

Electrodiagnostic and EEG services form a clear procedural core of the practice: 95886 generates $22.3K (11.7% of Medicare revenue) from 262 claims (rank #722 of 6525, 89th percentile), and 95819 generates $21.2K (11.1%) from 55 claims (rank #700 of 2575, 72th percentile; typical, unremarkable volume). Together these codes indicate routine provision of EMG/NCS and EEG diagnostics as a substantive service line alongside office-based care.

Neuropsychological testing and cognitive assessment are a notable secondary service line: 96132 ($10.6K, 5.6%, 99 claims; rank #622 of 3173, 80th percentile), 96116 ($6.8K, 3.6%, 92 claims; rank #366 of 1887, 80th percentile), plus technician-administered codes 96138 and 96139 provide incremental revenue. This mix—physician-administered testing plus technician time—suggests integrated testing and interpretation services are offered in-office rather than fully outsourced.

The practice bills for onabotulinumtoxinA via J0585 (3K claims, $14.8K, 7.8% of Medicare revenue) but the code ranks #3010 of 3636 providers nationally (17th percentile; typical, unremarkable volume). The presence of many unit-based J0585 claims contributing meaningful revenue while ranking low nationally suggests frequent small-unit administration locally but limited national-scale concentration in toxin services.

Competitive standing is mixed across procedural codes: for some electrodiagnostic measures the provider ranks high versus peers (for example, 95912 ranks #208 of 1477, 86th percentile), indicating above-typical participation, while other codes show more modest positioning (e.g., 95913 ranks #741 of 1528, 49th percentile). Overall the provider is a significant regional performer for certain diagnostics but not a dominant national player across all neurology procedural codes.

Tenure is long-standing: the NPI was enumerated on 2006-04-03 (~20 years ago), indicating established enrollment and likely sustained local presence. This longevity, coupled with the revenue concentration in a small set of diagnostic and E/M services, points to a stable outpatient neurology practice model focused on established-patient visits, electrodiagnostics, EEGs, and in-office cognitive testing.

The code-level labels indicate mostly typical volumes across many procedures (multiple codes noted as "typical, unremarkable volume") apart from the notably above-typical volume for 99214. This pattern—one high-volume E/M driver plus a broad set of routine diagnostic and testing codes—suggests a diversified service mix within neurology but with revenue vulnerability if E/M visit volumes change, given the top-3 codes account for 59.5% of Medicare revenue.

Medicare: Complete Services Breakdown

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

14 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…	730	$100	$69.8K
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…	260	$90	$22.3K
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…	60	$390	$21.2K
J0585	Injection, onabotulinumtoxina, 1 unit	2,960	$10	$14.8K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	60	$210	$13.2K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	100	$110	$10.6K
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	$120	$10.5K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	90	$70	$6.8K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	30	$240	$6K
95924	In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…	40	$130	$4.6K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Lee	GU	Dentist	$0	$10.9M
Guam Memorial Hospital	GU	General Acute Care Hospital	$0	$3.5M
Rsa - Tumon, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Robert Yang	GU	Dentist	$0	$2.4M
Antonio Garcia	GU	Pediatrics Physician	$0	$2.2M
Ma Gladys Linsangan	GU	Pediatrics Physician	$0	$2.2M
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Guam X-ray	GU	Vascular & Interventional Radiology Physician	$0	$2.1M
Sarah Clegg	GU	General Practice Dentistry	$0	$1.7M
Peter Kh Go	GU	Surgery Physician	$152.8K	$1.5M

Ramel Carlos — Billing Profile & Reimbursement Data

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Ramel Carlos — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10	90	140	$90	$25.7K
95886	1	10	260	$90	$22.3K
95819	1	10	60	$390	$21.3K
J0585	1	10	2,960	$1	$13.7K
95912	1	10	60	$210	$13.2K
99213	81	100	100	$60	$10.6K
96132	1	10	100	$110	$10.6K
96116	1	10	90	$70	$6.8K
99204	11	50	30	$110	$6.7K
95913	1	10	30	$240	$6K