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

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

Lisa De Los Santos (NPI 1619525631)

Field	Value
Entity Type	Individual
Organization	Lisa De Los Santos
Address	2302 N 15th Ave
City	Phoenix
State	AZ
ZIP	85007
Taxonomy	Speech-Language Pathologist
NPI Enumerated	September 3, 2019

Payer Source	Total Paid
Medicare	$6.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	70	$60	$3.8K
97130	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	110	$20	$1.8K
97129	The provider works directly one–on–one with the patient to help him improve cognitive functions such as thinking, remembering, reasoning, and problem solving and the ability to plan, organize, and…	40	$20	$650

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Lisa De Los Santos — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	28	30	240	$60	$15.7K
97130	10	10	200	$20	$6.5K
97129	13	20	80	$20	$2.5K

Nearby Providers

Other providers in the same ZIP code as Lisa De Los Santos, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Going The Extra Mile LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.2M
Another Level Of Community Services	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.5M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$17.3M
Connectionsaz, LLC	AZ	Multi-Specialty Clinic/Center	$0	$14.3M
Circle The City	AZ	Federally Qualified Health Center (FQHC)	$0	$14M
Arizona State Public Health Laboratory	AZ	Clinical Medical Laboratory	$0	$8.2M
Michael Rosen	AZ	Oral and Maxillofacial Surgery (Dentist)	$142.1K	$0
John Mcmullen	AZ	Physician Assistant	$20.9K	$0
Theresa Costales	AZ	Psychiatry Physician	$530	$0

Lisa De Los Santos — Billing Profile & Reimbursement Data

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Lisa De Los Santos — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References