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

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

Jose Lusancarez (NPI 1609180249)

Field	Value
Entity Type	Individual
Organization	Jose Lusancarez
Address	5500 Hohman Ave
City	Hammond
State	IN
ZIP	46320
Taxonomy	Family Medicine Physician
NPI Enumerated	August 5, 2010

Payer Source	Total Paid
Medicare	$34.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	410	$60	$24.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	340	$10	$3.7K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	30	$80	$2.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	130	$10	$1K
G0008	Administration of influenza virus vaccine	20	$30	$660
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	60	$10	$610
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	580	$1	$580
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	20	$20	$420
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	160	$1	$160
J1885	Injection, ketorolac tromethamine, per 15 mg	270	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Jose Lusancarez — 1 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	1,374	10,820	80	$50	$7.6K
36415	1,706	1,730	90	$10	$2.2K
G0008	3,545	3,270	50	$30	$2.2K
90688	57	20	50	$20	$1.3K
93000	883	1,000	50	$10	$1.2K
76700	139	70	20	$40	$1.1K
96372	103	1,300	50	$10	$720
J3301	339	930	190	$1	$400
J3420	51	250	60	$1	$80
J1885	9	80	60	$1	$50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ut Regional One Physicians Inc	TN	Surgery Physician	$0	$24.1M
Theoria Medical	MI	Internal Medicine Physician	$0	$9.6M
Stanley Mathew	IA	Physical Medicine & Rehabilitation Physician	$1.7M	$31.9K
Ray Silao	AZ	Internal Medicine Physician	$921.6K	$691.2K
Michelle Alexandre	IL	Family Medicine Physician	$21.7K	$639.7K
Charles Welly	VA	Family Medicine Physician	$248.4K	$196.2K
Mohamad Moughrabieh	TN	Internal Medicine Physician	$368K	$30
Jerel Harris	GA	Family Nurse Practitioner	$357.1K	$0
Rachel Hunter	OH	Hospitalist Physician	$348.7K	$4K
Joseph Escobar	IL	Family Nurse Practitioner	$344K	$5.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Express Care 4 LLC	IN	Urgent Care Clinic/Center	$0	$17.8M
Northshore Health Centers, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$10.9M
Sohl Ave Rcf LP	IN	Assisted Living Facility	$0	$9.1M
Northwest Indiana Community Action Corporation	IN	Case Management Agency	$0	$8.9M
A&k Kouklakis Od. P.C.	IN	Optometrist	$0	$5.7M
Franciscan Health Dyer & Hammond	IN	General Acute Care Hospital	$0	$3.3M
City Of Hammond	IN	Land Ambulance	$345.3K	$2.8M
Kristoph Giricz	IN	Nephrology Physician	$308.8K	$0
Cortney Palencia	IN	Emergency Medicine Physician	$63.8K	$210.5K
Asim Chughtai	IN	Nephrology Physician	$259.8K	$1.1K

Jose Lusancarez — Billing Profile & Reimbursement Data

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Jose Lusancarez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References