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    OpenPayerNPI Medicare & MedicaidRafael Cabrera
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    Rafael Cabrera — Billing Profile & Reimbursement Data

    NPI 1548278138 · Boca Raton, FL · Plastic Surgery Physician

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    Rafael Cabrera is a plastic surgery physician provider located in Boca Raton, Florida. This profile covers 32 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRafael Cabrera
    Address951 Nw 13th St
    CityBoca Raton
    StateFL
    ZIP33486
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedAugust 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$434.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.70$880$65.3K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…140$340$46.6K
    99213The 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…520$70$37.3K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.50$780$36K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.40$790$27.5K
    99203The 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…240$90$22.5K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…60$330$19.3K
    11606The provider excises a cancerous (malignant) lesion, including margins, over 4.0 cm in diameter, from the skin of the trunk, arms, or legs.60$300$16.9K
    14302At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…90$190$16.4K
    15730The provider creates a zygomaticofacial flap of skin from the midface of the patient to treat injury or open wounds on the face or scalp, He rotates the flap, complete with vascular supply, to cover…10$1,150$15K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    14301109020$770$27.7K
    9921428,66832,760140$90$25K
    1404111312020$710$24.7K
    152604315020$740$22.9K
    1313220443060$240$21.8K
    1406020626030$560$20.8K
    14061118020$730$19.8K
    1312125054040$260$18.7K
    1573041020$840$16.7K
    14302113060$170$14.3K

    Showing 1–10 of 32

    Nearby Providers

    Other providers in the same ZIP code as Rafael Cabrera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mar-j Medical Supply, Inc.FLDurable Medical Equipment & Medical Supplies$0$23.9M
    Hospice By The Sea IncFLCommunity Based Hospice Care Agency$0$9.2M
    Ernesto SegalFLSpecialist$2.7M$0
    Joseph ForstotFLRheumatology Physician$2M$0
    Boca Raton Ophthalmology Asc LLCFLAmbulatory Surgical Clinic/Center$1.8M$330
    David DillonFLRheumatology Physician$1.3M$0
    Daniel RudenskyFLDiagnostic Radiology Physician$1.3M$0
    Jonathan WienerFLDiagnostic Radiology Physician$1.1M$0
    Robert SarroFLDermatology Physician$1.1M$0
    Yale PollakFLDiagnostic Radiology Physician$884.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Rafael Cabrera — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida