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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarmelo Otero
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    Carmelo Otero — Billing Profile & Reimbursement Data

    NPI 1588683155 · San Antonio, TX · Surgery Physician

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    Carmelo Otero is a surgery physician provider located in San Antonio, Texas. This profile covers 27 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
    OrganizationCarmelo Otero
    Address215 N San Saba Ste 206
    CitySan Antonio
    StateTX
    ZIP78207
    TaxonomySurgery Physician
    NPI EnumeratedJuly 18, 2006

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

    Payer SourceTotal Paid
    Medicare$143.3K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…260$100$24.3K
    36832In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein often located in the upper arm or…20$560$10.1K
    99223The 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…80$130$10.1K
    93990The provider assesses the flow of blood through a hemodialysis graft using duplex ultrasound scanning. He performs this procedure to evaluate the condition of the graft.90$90$8.5K
    99204The provider sees a new 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 provider…70$120$7.9K
    36246Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…10$620$7.5K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…50$140$7.2K
    36833In this procedure, the provider surgically opens an autogenous or nonautogenous arteriovenous fistula and revises the connection between the artery and the vein. An arteriovenous fistula is a…10$550$7.1K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…40$180$6.8K
    36819The provider creates an arteriovenous anastomosis by connecting the basilic vein to the brachial artery in the upper arm to provide better vascular access in patients with kidney failure who will…10$510$6.7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    369028414040$860$68.2K
    992148,57632,500110$80$17.6K
    36901359030$360$12.6K
    36832144020$660$11.8K
    992232,9749,99040$130$9.5K
    3681971020$530$8.9K
    36830222020$450$8.1K
    3683341020$440$8K
    938806651,80040$100$6.7K
    939253511,04030$140$6K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    M. Reza Mizani, M.d., P.A.TXAmbulatory Surgical Clinic/Center$374.9K$190
    Indraneel MogaralaUTNephrology Physician$220K$0
    Anna SanchezTXPodiatrist$191.7K$0
    Raja SinhaOHNephrology Physician$183.9K$0
    Sushanta GoswamiTXInternal Medicine Physician$170.8K$0
    Alejandro Solano BayardoTXNephrology Physician$96.6K$0
    Ellis SalloumTXVascular Surgery Physician$32.9K$0
    David MalaveTXThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$18.9K$0
    Mark BorensteinINVascular & Interventional Radiology Physician$15.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Barrio Comprehensive Family Health Care Center, Inc.TXFederally Qualified Health Center (FQHC)$0$147.8M
    Charles S. Ramon, LLC.TXHome Health Agency$0$70.6M
    Christus Santa Rosa Health Care CorporationTXChildren's Hospital$0$69.1M
    Community Medicine AssociatesTXFamily Medicine Physician$0$37.4M
    Baylor College Of MedicineTXPediatrics Physician$0$26.1M
    City Of San Antonio TexasTXLand Ambulance$4.4M$12.7M
    Davila Pharmacy, Inc.TXPharmacy$0$13.4M
    Renal Associates, P.A.TXAmbulatory Surgical Clinic/Center$2.8M$280.7K
    Darrell BaskinTXOphthalmology Physician$2.2M$0
    Mark CollazoTXFamily Nurse Practitioner$742.5K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Carmelo Otero — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas