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    OpenPayerNPI Medicare & MedicaidCarlos A Cadena Dpm PC
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    Carlos A Cadena Dpm PC — Billing Profile & Reimbursement Data

    NPI 1679617229 · Las Cruces, NM · Foot & Ankle Surgery Podiatrist

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    Carlos A Cadena Dpm PC is a foot & ankle surgery podiatrist provider located in Las Cruces, New Mexico. This profile covers 0 Medicare and 38 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCarlos A Cadena Dpm PC
    Address2800 Doral Ct Ste A
    CityLas Cruces
    StateNM
    ZIP88011
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedFebruary 16, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$4.3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    L4210Repair of orthotic device, repair or replace minor parts11,720$140$1.7M
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…17,720$30$478.4K
    A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe7,300$40$292.1K
    99213The 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…5,740$50$286.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.13,150$20$236.7K
    29540The provider applies elastic adhesive tape to the ankle or foot to hold the joint or muscles in a fixed position and limit excessive or abnormal movements. Strapping treats muscle strains,…6,930$30$228.6K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.9,490$20$161.3K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.3,250$50$159.3K
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each470$330$152.6K
    A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base…7,560$20$136.1K

    Showing 1–10 of 38

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Mexico median

    38 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    L4210Repair of orthotic device, repair or replace minor parts11011,720$140$1.7M
    99213The 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…180930910$80$521.6K
    99214The 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…9409601,010$90$490K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…4380220$160$273.9K
    L3000Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each110470$330$152.6K
    L1902Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf410890$80$138.5K
    99203The provider sees a new 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 provider…62360220$90$134.7K
    L4205Repair of orthotic device, labor component, per 15 minutes1105,510$20$88.5K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…320260$60$88.1K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.4580590$50$76.1K

    Showing 1–10 of 38

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos A Cadena Dpm PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raha MobarakNMFoot & Ankle Surgery Podiatrist$106.4K$1.3K
    Yolanda ChaconNMFoot & Ankle Surgery Podiatrist$94.8K$0
    Carlos CadenaNMFoot & Ankle Surgery Podiatrist$90.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Carlos A Cadena Dpm PC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain Shadows Home Care Services, IncNMHome Health Agency$0$92.9M
    Las Cruces Medical Center LLCNMGeneral Acute Care Hospital$0$86.8M
    Addus Healthcare, Inc.NMIn Home Supportive Care Agency$0$81.1M
    Phc-las Cruces IncNMGeneral Acute Care Hospital$0$64.8M
    Las Cruces Physician Services LLCNMOrthopaedic Surgery Physician$0$62.9M
    Multicultural Evaluation & Consultation Associates LLCNMEarly Intervention Provider Agency$0$59.3M
    Quality Life Services, LLCNMSpecialist$0$44.9M
    Las Cruces Physician Practices, LLCNMFamily Medicine Physician$0$22.8M
    Southwest Emergency Medical Associates Of Nm PCNMEmergency Medicine Physician$0$20.3M
    Milagro De Vida Community Services LLCNMIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$20.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. New Mexico Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Mexico Distribution
    Carlos A Cadena Dpm PC — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico