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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Letelier
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    Carlos Letelier — Billing Profile & Reimbursement Data

    NPI 1689614893 · Las Vegas, NV · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

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    Carlos Letelier is a plastic surgery within the head and neck (plastic surgery) physician provider located in Las Vegas, Nevada. This profile covers 13 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Letelier
    Address10115 W Twain Ave
    CityLas Vegas
    StateNV
    ZIP89147
    TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicaid$120.2K
    Medicare$26.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99205The provider sees a new 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 provider…30$160$5.5K
    20680Skeletal deformities or injuries such as fractures often require the use of skeletal fixation devices, like pins, rods, wires, bands, or plates, to join skeletal parts and maintain their normal…10$260$3.6K
    21040Benign, or noncancerous, tumors of the mandible, the bone of the lower jaw, are removed by enucleation and or curettage. Enucleation is the process of removal of an entire tumor as a single mass.…10$230$2.8K
    40800The provider drains fluid from an abscess, cyst, or hematoma, from the vestibule or anterior most portion of the oral cavity of the patient’s mouth. This procedure involves a simple drainage.30$80$2.5K
    42106In this procedure, the provider removes a lesion from the palate or uvula. He closes the site of incision using simple repair.10$200$2.2K
    76377In this procedure, the provider performs interpretation and reporting for computed tomograph, magnetic resonance imaging, ultrasound, or other tomographic modality under concurrent supervision with…40$50$2K
    99204The provider sees a new 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 provider…10$130$1.6K
    99195The provider removes venous blood from a patient, similar to a blood donation, to reduce the number of red blood cells or treat a high level of iron or potassium in the blood.20$80$1.2K
    40808The provider performs a biopsy, a surgical procedure in which the provider excises a sample of the tissues from the vestibule of a patient’s mouth. He commonly performs this procedure to diagnose an…20$60$1.2K
    70486The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.40$30$1.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2068081020$440$11.4K
    9920517845030$150$6.9K
    992041,8472,01030$110$5.8K
    4080021060$80$5.1K
    99195242040$70$3.1K
    2104011010$230$2.8K
    4210611010$200$2.2K
    704862510030$60$2K
    7637721020$40$1.8K
    1201121030$40$1.2K

    Showing 1–10 of 13

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…640$80$49.4K
    D9223N/A250$80$19.3K
    D0330N/A770$20$17.6K
    D9222N/A290$40$11.6K
    D0140Limited oral evaluation – problem focused370$30$9.9K
    D9612N/A230$30$7.6K
    D0190N/A360$10$4.7K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    7 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…54150270$70$141.3K
    D9223N/A2440390$50$97.8K
    D9222N/A1940210$50$47.8K
    D0330N/A98360280$30$27.6K
    D9612N/A920180$30$27.6K
    D0140Limited oral evaluation – problem focused181440260$30$25.7K
    D0190N/A2040240$10$9.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Focus Mental Health Solutions Bhushan Wirjo Itzhaki Still PLLCNVPsychiatry Physician$0$15.3M
    Luis Velazquez Md PLLCNVPain Medicine (Anesthesiology) Physician$0$5.1M
    My Besthealth First LLCNVFamily Medicine Physician$0$4.9M
    Wee Care PediatricsNVPediatrics Physician$0$4.5M
    Las Vegas Wound CareNVPharmacist$0$4.4M
    Germin Clinical Neurology WestNVNeurology Physician$0$3.9M
    Nevada Integrated HealthcareNVInternal Medicine Physician$0$2.3M
    Helios Medical Center LLCNVGeneral Practice Physician$0$1.8M
    De Craig Ranch, LLCNVGeneral Acute Care Hospital$0$1.6M
    Shazia Hamid MdNVInternal Medicine Physician$0$1.5M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nevada Distribution
    Carlos Letelier — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Carlos Letelier — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada