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

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

Erik Menjivar (NPI 1568779734)

Field	Value
Entity Type	Individual
Organization	Erik Menjivar
Address	2208 Executive Dr
City	Hampton
State	VA
ZIP	23666
Taxonomy	Clinical Social Worker
NPI Enumerated	September 8, 2010

Payer Source	Total Paid
Medicare	$6.5K
Medicaid	$0

Key Findings

Service line: The provider’s Medicare billing is concentrated in psychotherapy, with code 90834 (psychotherapy, 38–52 minutes) accounting for essentially all billed clinical services. The presence of 90834 as the top and only listed code suggests this Clinical Social Worker’s practice is oriented toward individual psychotherapy sessions rather than medication management, procedural services, or broader multidisciplinary codes.

Revenue concentration: Precomputed data show the top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue; in practice that concentration is represented by a single code. Code 90834 generates $6.4K of the $6.5K total Medicare revenue, indicating extremely tight dependence on one service line for public payer income.

Scale and utilization: Overall Medicare revenue for this provider is $6.5K, drawn from 124 claims for code 90834 at an average paid/claim of $52. This is a small Medicare footprint in absolute dollars and claim volume, consistent with a solo or low-volume outpatient psychotherapy practice rather than a high-throughput clinic.

Payer mix: This provider has no Medicaid billing on file (none below), so for public programs the entity is effectively single-payer (Medicare). The absence of Medicaid claims suggests the provider either does not bill Medicaid or has not reported Medicaid activity during the observed period, meaning exposure to state program revenue is minimal or nil.

Competitive standing: For code 90834 this provider ranks #5406 of 10713 nationally (49th percentile) and the dataset labels the volume as "typical, unremarkable volume." That ranking places the provider near the national median for this specific psychotherapy code, characterizing them as a modest, not dominant, participant among Medicare-billing peers for this service.

Tenure: The provider’s NPI was enumerated 2010-09-08 (~16 years ago), indicating a long-established enrollment in the Medicare system despite the current low billing levels. Long tenure with low revenue may reflect limited Medicare-facing activity rather than recent market entry.

Business risk and operational implications: The combination of very small total Medicare revenue ($6.5K), extreme concentration in a single code (90834 at $6.4K, 100.0% of Medicare revenue), and no Medicaid billing creates revenue concentration risk: changes in referrals, Medicare reimbursement, or patient mix could materially affect public-payer income. From a payer or contracting perspective, this profile reads as a narrowly focused psychotherapy provider with limited diversification in payers and services.

Statistical context: The data explicitly describe the provider’s volume on 90834 as "typical, unremarkable volume," and no codes are flagged as outliers. In other words, while the provider’s scale is small, its pattern of billing for 90834 aligns with common practice-level activity for that code rather than being unusually high or low relative to national peers.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	120	$50	$6.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Erik Menjivar — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90834	1	250	150	$60	$12.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hampton Newport News Community Services Board	VA	Community/Behavioral Health Agency	$0	$123.8M
Sentara Hospitals	VA	General Acute Care Hospital	$0	$78.5M
Serenity C & C Inc.	VA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$74.2M
Agape Counseling & Therapeutic Services, Inc	VA	Community/Behavioral Health Agency	$0	$18.5M
Alliance Behavioral Counseling	VA	Community/Behavioral Health Agency	$0	$16.9M
Hampton Mental Health Associates, Inc	VA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12M
United And Empowered Care, Inc	VA	Developmentally Disabled Services Day Training Agency	$0	$11.8M
Better Life Services, Inc.	VA	Community/Behavioral Health Agency	$0	$9.2M
Creating Scholars Through Therapy, LLC	VA	Community/Behavioral Health Agency	$0	$7.6M
Key Elements Care, LLC	VA	In Home Supportive Care Agency	$0	$6.8M

Erik Menjivar — Billing Profile & Reimbursement Data

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Erik Menjivar — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References