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

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

Roy Gondo (NPI 1669476131)

Field	Value
Entity Type	Individual
Organization	Roy Gondo
Address	620 W 1st St
City	Wapato
State	WA
ZIP	98951
Taxonomy	Family Medicine Physician
NPI Enumerated	June 11, 2005

Payer Source	Total Paid
Medicare	$245K
Medicaid	$0

Medicare: Complete Services Breakdown

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

29 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…	1,360	$90	$117.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	310	$130	$39.2K
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…	500	$60	$28.2K
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…	160	$130	$20.9K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	50	$160	$7.5K
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…	90	$80	$7.1K
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…	20	$220	$5K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	50	$80	$3.7K
99495	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 at least moderate medical decision making,…	20	$160	$2.6K
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…	190	$10	$1.9K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Roy Gondo — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	56	10,860	100	$80	$13.6K
17110	374	420	100	$70	$9.8K
G0439	43	2,390	50	$130	$9.7K
17000	479	510	160	$40	$8.5K
99215	418	4,320	40	$120	$8.4K
90694	470	1,300	30	$70	$6.6K
99213	305	9,690	60	$60	$6.5K
99204	4,168	4,750	30	$110	$5.2K
99497	116	570	30	$60	$4.2K
99496	57	190	20	$200	$4.1K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$24.9M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$22.3M
Yakima Valley Farm Workers Clinic	WA	Dentist	$0	$20.5M
Yakim Valley Farm Workers Clinic	WA	Dental Clinic/Center	$0	$20.2M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$19.8M
Yakima Valley Farm Workers Clinic	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.2M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$13.8M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$6.6M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$5.2M
Yakima Valley Farm Workers Clinic	WA	Federally Qualified Health Center (FQHC)	$0	$4.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rd LLC	WA	Community/Retail Pharmacy	$72.2K	$0

Roy Gondo — 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