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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Rafael Lucila (NPI 1659318483)

Field	Value
Entity Type	Individual
Organization	Rafael Lucila
Address	780 Allwood Rd
City	Clifton
State	NJ
ZIP	07012
Taxonomy	Family Medicine Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicare	$46.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	220	$90	$20.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$140	$14.9K
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…	60	$70	$4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$130	$3.4K
99442	N/A	30	$60	$1.8K
99443	N/A	30	$50	$1.4K
G0008	Administration of influenza virus vaccine	10	$30	$410
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	20	$20	$350
G0405	Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Rafael Lucila — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,970	13,640	130	$90	$23.6K
99213	9,282	14,090	100	$70	$13.1K
99215	2,456	3,750	40	$140	$12K
G0439	1,118	3,370	70	$120	$11.5K
99443	181	390	30	$90	$5.5K
99442	366	830	30	$60	$3.5K
G0008	4,104	4,290	50	$30	$3K
90686	242	480	20	$20	$580
G0405	6	10	20	$1	$110

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NJ	Clinical Medical Laboratory	$111.2M	$637.7M
Serv Centers Of New Jersey, Inc	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Ameripath New York, LLC	NJ	Clinical Medical Laboratory	$684.8K	$1.6M
Ayelet Nelson	NJ	Adult Health Nurse Practitioner	$536.5K	$0
Daniel Lowe	NJ	Urology Physician	$366.7K	$0
Luisa Lerma	NJ	Anatomic Pathology & Clinical Pathology Physician	$365.3K	$0
Atul Prakash	NJ	Clinical Cardiac Electrophysiology Physician	$340.6K	$0
Sanjiv Parikh	NJ	Specialist	$329.6K	$0
Linda Singletary	NJ	Diagnostic Radiology Physician	$315.6K	$0
Brian Schactman	NJ	Internal Medicine Physician	$267.1K	$0

Rafael Lucila — Billing Profile & Reimbursement Data

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Rafael Lucila — 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