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

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

Julieta Orres (NPI 1629457932)

Field	Value
Entity Type	Individual
Organization	Julieta Orres
Address	8100 Greenwood St
City	Anchorage
State	AK
ZIP	99518
Taxonomy	Community Health Worker
NPI Enumerated	May 20, 2015

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	39,210	$80	$3.1M
S5125	Attendant care services; per 15 minutes	10,410	$90	$936.9K
T2021	Day habilitation, waiver; per 15 minutes	1,520	$140	$208.7K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

Julieta Orres — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1019	Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify…	15	30	38,770	$70	$6M
S5125	Attendant care services; per 15 minutes	20	20	38,630	$110	$5.4M
T2021	Day habilitation, waiver; per 15 minutes	53	60	11,640	$150	$3.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Community Resources Inc	AK	Respite Care	$0	$161.2M
Alaska Consumer Direct Personal Care, LLC	AK	Personal Care Attendant	$0	$113.4M
Cindy And Vics R & R, Inc	AK	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$14.2M
Hope Community Resources Inc	AK	Community/Behavioral Health Agency	$0	$8.3M
Greenwood Care Services, LLC	AK	In Home Supportive Care Agency	$0	$5.7M
Aleutian Pribilof Islands Association, Inc.	AK	Counselor	$0	$5.1M
Health Court Foods,inc.	AK	Home Delivered Meals	$0	$4.2M
Alaska Yellow Dispatch LLC	AK	Taxi	$0	$2.5M
Northwest Medical, LLC.	AK	Oxygen Equipment & Supplies (DME)	$0	$2.2M
Stephanie Pereault	AK	Case Manager/Care Coordinator	$0	$628.6K

Julieta Orres — Billing Profile & Reimbursement Data

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Julieta Orres — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References