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

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

Miguel Molina (NPI 1568454395)

Field	Value
Entity Type	Individual
Organization	Miguel Molina
Address	1111 Medical Center Blvd
City	Marrero
State	LA
ZIP	70072
Taxonomy	Nephrology Physician
NPI Enumerated	August 18, 2005

Payer Source	Total Paid
Medicare	$101.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	180	$280	$50.7K
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…	230	$60	$14.2K
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…	120	$90	$11.1K
90962	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	50	$150	$8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	60	$100	$6.5K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	30	$210	$6.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$3.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	40	$30	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Miguel Molina — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	51	110	170	$270	$49.5K
90961	88	110	50	$220	$14.7K
99232	609	2,580	90	$60	$13.3K
99233	628	2,010	70	$90	$12.3K
99223	1,489	2,330	40	$130	$7.7K
90962	9	50	30	$150	$6.7K
99222	303	1,440	30	$100	$4.6K
99212	504	1,160	30	$30	$2.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashwin Jaikishen	LA	Nephrology Physician	$163.4K	$0
Matthew Sanger	LA	Nephrology Physician	$113.5K	$0
Steven Morris	LA	Nephrology Physician	$105.6K	$0
Gabriel Rivera-rodriguez	LA	Nephrology Physician	$103.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Jefferson Holdings, LLC	LA	General Acute Care Hospital	$0	$48.5M
New Orleans Physician Services Inc	LA	Internal Medicine Physician	$0	$23.5M
Reliable Pca Agency L.L.C	LA	Nursing Care Agency	$0	$8.8M
David L Schneider Md Apmc	LA	Otolaryngology Physician	$0	$7.1M
Westcare Medical Center, Inc	LA	Clinic/Center	$0	$6.8M
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$6.7M
Wjh Physician Services	LA	Internal Medicine Physician	$0	$6.2M
Michael Haydel Md A Medical Corporation	LA	Pediatrics Physician	$0	$5.8M
Jefferson Parish Public School System	LA	Local Education Agency (LEA)	$0	$5.3M
New Orleans La Uptown West Bank Endoscopy Asc LLC	LA	Ambulatory Surgical Clinic/Center	$222.8K	$699.2K

Miguel Molina — Billing Profile & Reimbursement Data

Sign up for Miguel Molina — Billing Profile & Reimbursement Data policy alerts

Miguel Molina — Billing Profile & Reimbursement Data

Sign up for Miguel Molina — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References