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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Jorge Gonzalez (NPI 1679656821)

Field	Value
Entity Type	Individual
Organization	Jorge Gonzalez
Address	600 Moye Blvd
City	Greenville
State	NC
ZIP	27834
Taxonomy	Audiologist
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicare	$3.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	30	$80	$2.4K
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	20	$30	$540
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	30	$10	$370
92538	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with water, either warm or cool but not both (monothermal), while evaluating the patient’s eye…	20	$20	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Jorge Gonzalez — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92540	14	40	20	$80	$2.4K
92567	218	290	80	$10	$1.2K
92537	17	30	20	$30	$810
92538	4	10	20	$20	$400

Jorge Gonzalez — Billing Profile & Reimbursement Data

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Jorge Gonzalez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References