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

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

Juan Moises Gutierrez (NPI 1659892693)

Field	Value
Entity Type	Individual
Organization	Juan Moises Gutierrez
Address	1313 Sw 27th Ave
City	Miami
State	FL
ZIP	33145
Taxonomy	General Practice Physician
NPI Enumerated	June 29, 2017

Payer Source	Total Paid
Medicare	$123.8K
Medicaid	$0

Key Findings

Provider JUAN MOISES GUTIERREZ has been NPI‑enumerated since 2017-06-29 (~9 years ago) and has reported $123.8K in lifetime Medicare revenue with no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the available claims data. This tenure suggests a multi‑year operating history focused within the Medicare program rather than a mixed Medicaid/Medicare panel.

Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top three Medicare codes account for 82.9% of this provider’s total Medicare revenue. In particular, 99348 accounts for $76.8K (62.0% of Medicare revenue), 99496 accounts for $13.3K (10.7%), and 99490 accounts for $12.6K (10.1%), indicating a narrow revenue base driven by a few services.

The code mix points to a home‑based primary care and care‑coordination model: 99348 and 99347 are home/residence E/M visits (established patients), 99496 is transitional care management after discharge, and 99490 is monthly chronic care management. High volumes of 99348 (1.2K claims, $62 avg paid/claim) alongside nontrivial use of 99490 (251 claims, $50 avg paid/claim) and 99496 (58 claims, $229 avg paid/claim) indicate routine house‑call visits paired with ongoing chronic‑care and transition management services rather than a clinic‑office centric practice.

99348 is an outlier nationally: the provider ranks 124 of 11547 providers for 99348 (99th percentile; extreme outlier, far above typical national volume for this code), signaling national‑level prominence for home‑visit encounters. By contrast, 99496 ranks 1001 of 15461 (93th percentile; typical, unremarkable volume) and 99490 ranks 5389 of 16216 (67th percentile; typical, unremarkable volume), which together portray a specialist niche in high‑volume home visits with otherwise typical participation in chronic care and transition management.

Operationally and financially, the practice is dependent on a single high‑volume service line: 99348 alone comprises 62.0% of Medicare revenue. That concentration creates exposure to reimbursement, policy, or coding changes affecting home/residence E/M visits and suggests that small shifts in utilization or payer policy for 99348 could materially change revenue performance given the $123.8K Medicare revenue base.

The broader CPT mix (for example, 99347: 319 claims, $36 avg paid/claim, $11.5K revenue, 9.3%; 99342: 73 claims, $62 avg paid/claim, $4.5K revenue, 3.7%; G0439: 36 claims, $120 avg paid/claim, $4.3K revenue, 3.5%; 99497: 13 claims, $70 avg paid/claim, $910 revenue, 0.7%) reinforces a practice centered on home visits with some preventive wellness visits and limited advance care planning. These ancillary codes show the provider delivers a mix of new/established home visit E/Ms and occasional annual wellness or ACP services, but none approach the revenue dominance of 99348.

Given the single‑payer footprint (Medicare only in the record) and the statistically extreme standing on 99348, the provider should be viewed as a niche, high‑volume home‑visit operator at the national level for that service, while remaining a modest participant on other common chronic and transitional care codes. Analysts evaluating market competition or contracting should treat this entity as specialized in house calls and care coordination rather than a general office‑based primary care competitor.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	1,240	$60	$76.8K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	60	$230	$13.3K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	250	$50	$12.6K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	320	$40	$11.5K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	70	$60	$4.5K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	40	$120	$4.3K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$70	$910

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Juan Moises Gutierrez — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99490	1	1,200	150	$50	$19.7K
G0439	7	7,210	60	$120	$13.4K
99348	1	1,320	90	$50	$12K
99496	1	2,070	20	$190	$6.8K
99497	5	2,370	50	$70	$6.7K
99347	1	490	50	$30	$5.3K
99342	1	330	40	$50	$3.3K

Nearby Providers

Other providers in the same ZIP code as Juan Moises Gutierrez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mazal Nursing Services, Inc	FL	Attendant Care Provider	$0	$20.6M
Carlos Sanchez	FL	Primary Care Clinic/Center	$181.8K	$14.6K
Daily Ybargollin	FL	Nurse Practitioner	$67.2K	$0
Abel Murillo	FL	Pain Medicine (Anesthesiology) Physician	$62K	$0

Juan Moises Gutierrez — Billing Profile & Reimbursement Data

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Juan Moises Gutierrez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References