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.

Jose Santos Pico (NPI 1528043783)

Field	Value
Entity Type	Individual
Organization	Jose Santos Pico
Address	4351 E Lohman Ave Ste 409
City	Las Cruces
State	NM
ZIP	88011
Taxonomy	Neurological Surgery Physician
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicare	$28.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
61312	Hematoma is an unusual collection of blood outside the blood vessels due to internal hemorrhage. Subdural or extradural hematoma is caused by head injuries, and it is a life–threatening condition.…	20	$1,670	$25.1K
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…	40	$50	$1.9K
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…	10	$100	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Jose Santos Pico — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61312	1	10	20	$1,670	$25.1K
99213	1,504	2,440	60	$50	$7.3K
99204	1,092	1,210	30	$100	$4.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Las Cruces Physician Services LLC	NM	Orthopaedic Surgery Physician	$0	$62.9M
William Figlesthaler	FL	Urology Physician	$904.3K	$0
Paul Butros	VA	Diagnostic Radiology Physician	$844.4K	$0
Sandeep Rao	AZ	Vascular & Interventional Radiology Physician	$634.9K	$0
David August	AZ	Diagnostic Radiology Physician	$430.2K	$0
Leroy Jones	TX	Urology Physician	$424.4K	$0
Mandeep Dhami	CT	Hematology & Oncology Physician	$331.4K	$0
Sreechandra Donepudi	AZ	Diagnostic Radiology Physician	$273.4K	$52.6K
Umang Shah	FL	Interventional Cardiology Physician	$306.4K	$0
David Philips	WA	Interventional Cardiology Physician	$268.4K	$0

Jose Santos Pico — Billing Profile & Reimbursement Data

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Jose Santos Pico — 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