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NPI 1538154596 · Jacksonville, FL · Internal Medicine Physician
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George Camacho is a internal medicine physician provider located in Jacksonville, Florida. This profile covers 18 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | George Camacho |
| Address | 4131 University Blvd S Ste 8 |
| City | Jacksonville |
| State | FL |
| ZIP | 32216 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | September 15, 2005 |
| NPI Deactivated | March 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.3M |
| Medicaid | $2.1K |
This provider’s billing is overwhelmingly Medicare-centered: lifetime Medicare revenue is reported as $5.3M versus total Medicaid revenue of $2.1K, making the practice effectively single‑payer in scale with Medicare driving nearly all reported revenues. The Medicaid footprint is negligible by comparison and does not materially contribute to the provider’s overall revenue profile.
Revenue is highly concentrated within a very narrow set of Medicare codes: the precomputed top 3 Medicare codes account for 97.6% of this provider’s total Medicare revenue, and a single code, K1034, accounts for $5.2M or 96.4% of Medicare revenue. That level of concentration means a small number of service lines — dominated by one HCPCS code — drive the economics of this billing profile.
K1034 appears to define the provider’s primary service line in Medicare: 431.8K claims at $12 avg paid/claim for K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use) and $5.2M revenue indicate a large-scale test‑distribution or dispensing operation rather than a traditional office-based encounter mix. Other common Internal Medicine E/M codes are present but represent only tiny shares of total Medicare revenue, suggesting ancillary or high-volume supply activity rather than a visit-centered business model.
The provider bills chronic care and care‑coordination codes at modest volumes: 99439 shows 935 claims and $31.8K revenue while 99490 shows 734 claims and $31.6K revenue; these items each represent about 0.6% of Medicare revenue and the reporting labels these volumes as "typical, unremarkable." This pattern signals that remote/coordination services are offered but are not major revenue drivers compared with the K1034 activity.
Despite the high percentiles reported for some codes, the statistical labels temper the interpretation: K1034 ranks #92 of 30143 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), identifying this provider as an extreme national outlier for that specific service, while chronic care codes such as 99439 and 99490 are described as "typical, unremarkable volume" at their respective national ranks. In other words, the provider is nationally dominant for K1034 but otherwise a modest participant for routine care and care‑coordination codes.
Medicaid billing is concentrated in routine office E/M codes: 99214 (34 claims, $1.3K revenue; 63.4% of Medicaid revenue) and 99215 (17 claims, $765 revenue; 36.6% of Medicaid revenue) together account for 100.0% of reported Medicaid revenue. Both Medicaid ranks are low in-state (99214 at the 13th percentile and 99215 at the 15th percentile), indicating only modest participation in Florida Medicaid for standard office visits.
The provider’s NPI has been enumerated since 2005-09-15 (~21 years ago), which provides a long billing history to evaluate trends; however, the current revenue mix is atypical for an Internal Medicine Physician given the outsized role of a single test‑provision HCPCS code. Tenure supports longitudinal analyses, but recent revenue drivers are heavily skewed toward the K1034 activity rather than traditional face‑to‑face E/M volume.
From a payer/contracting perspective, the profile represents a concentration and operational risk: with $5.2M of Medicare revenue tied to K1034 and the top 3 Medicare codes accounting for 97.6% of Medicare revenue, any change in coverage, pricing, or program rules for that HCPCS could materially affect payments. Risk assessment, contract language, and claims monitoring should therefore prioritize the K1034 activity while treating the remaining clinical codes as secondary revenue streams.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 431,790 | $10 | $5.2M |
| 99439 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 940 | $30 | $31.8K |
| 99490 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 730 | $40 | $31.6K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 440 | $60 | $27.7K |
| 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… | 290 | $90 | $26K |
| 99487 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 210 | $90 | $18.4K |
| 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… | 230 | $60 | $13.4K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $90 | $9K |
| 99489 | The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the… | 150 | $50 | $7.9K |
| 99493 | A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in… | 70 | $100 | $6.5K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| K1034 | 10 | 2,890 | 600 | $10 | $68.5K |
| 99214 | 9,930 | 32,760 | 140 | $90 | $25K |
| 99489 | 52 | 170 | 80 | $50 | $21K |
| 99233 | 5,222 | 9,970 | 100 | $90 | $20.1K |
| 99490 | 193 | 1,200 | 150 | $50 | $19.7K |
| 99232 | 2,321 | 13,090 | 120 | $60 | $17.5K |
| 99458 | 216 | 320 | 150 | $30 | $15.7K |
| 99487 | 51 | 270 | 50 | $90 | $15.5K |
| 99457 | 300 | 460 | 160 | $40 | $15K |
| 99454 | 282 | 420 | 170 | $40 | $13.6K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 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… | 30 | $40 | $1.3K |
| 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… | 20 | $50 | $770 |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 5,536 | 6,380 | 430 | $50 | $139.3K |
| 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… | 819 | 980 | 120 | $90 | $76.8K |
Other providers in the same ZIP code as George Camacho, ranked by combined Medicare and Medicaid revenue.
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