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.

Arthur Padilla (NPI 1538104310)

Field	Value
Entity Type	Individual
Organization	Arthur Padilla
Address	3333 Evergreen Dr Ne
City	Grand Rapids
State	MI
ZIP	49525
Taxonomy	Anesthesiology Physician
NPI Enumerated	June 17, 2006

Payer Source	Total Paid
Medicare	$13.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	110	$80	$8.4K
00103	The provider performs anesthesia services for a patient undergoing a reconstructive procedure of eyelid such as blepharoplasty or ptosis surgery.	20	$90	$1.8K
00144	The provider performs anesthesia services for a patient undergoing a corneal transplant.	10	$140	$1.5K
00140	The provider performs anesthesia services for a patient undergoing an eye procedure.	20	$90	$1.5K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	10	$50	$590

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Arthur Padilla — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
00142	99	780	30	$60	$4.1K
00103	29	70	20	$100	$3K
00140	91	130	20	$80	$2.8K
00144	7	10	20	$100	$2.3K
00731	1,328	1,570	20	$70	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Hospitals	MI	General Acute Care Hospital	$0	$243.2M
Spectrum Health Primary Care Partners	MI	Internal Medicine Physician	$0	$219.9M
Spectrum Health Hospitals	MI	Hospitalist Physician	$0	$25.2M
Spectrum Health Primary Care Partners	MI	Urgent Care Clinic/Center	$0	$14.5M
West Michigan Anesthesia, PC	MI	Anesthesiology Physician	$0	$9.9M
Spectrum Health Hospitals	MI	Air Ambulance	$413.8K	$1.1M
Jeremiah Johns	MI	Emergency Medicine Physician	$432.1K	$0
Enid Ling-stowers	MI	Emergency Medicine Physician	$253.4K	$67.6K
Rima Shah	MI	Internal Medicine Physician	$264.5K	$0
Harvinder Singh	MI	Cardiovascular Disease Physician	$249K	$0

Arthur Padilla — Billing Profile & Reimbursement Data

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Arthur Padilla — 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