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.

Julio Enriquez Torres (NPI 1689981904)

Field	Value
Entity Type	Individual
Organization	Julio Enriquez Torres
Address	11970 Sw 92nd Ln
City	Miami
State	FL
ZIP	33186
Taxonomy	Psychiatric/Mental Health Nurse Practitioner
NPI Enumerated	September 8, 2010

Payer Source	Total Paid
Medicare	$373.6K
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare practice: total Medicare revenue is $373.6K and there is no Medicaid billing on file, so payer mix is dominated by Medicare rather than a dual Medicare/Medicaid footprint. Analysts should treat Medicaid as absent for competitive or network analyses.

Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top three codes (99214, 99484, 99204) account for 98.4% of this provider’s Medicare revenue. In particular, 99214 alone represents $264.3K (70.7% of Medicare revenue) and 99484 contributes $78.4K (21.0%).

The code mix indicates an outpatient psychiatric/behavioral health operating model focused on frequent established-patient visits and care coordination: 99214 (established patient E/M visits, moderate MDM or 30+ minutes) and 99484 (monthly behavioral health care coordination by clinical staff) together dominate revenue. The presence of 99204 (new patient, 45+ minutes) at $25K (6.7%) shows some intake of new patients but far less revenue than follow-up and care management.

This provider is a statistical outlier on its top codes, signaling market dominance in volume for those services: 99214 ranks #151 of 479517 providers nationally (100th percentile; extreme outlier), 99484 ranks #6 of 845 providers nationally (99th percentile; extreme outlier), and 99204 ranks #3411 of 227068 providers nationally (98th percentile; extreme outlier). These ranks indicate activity far above typical national peers for the same CPTs rather than a modest or average billing pattern.

Claim counts underline a high-frequency follow-up and care-management practice model: the file shows 3.4K claims for 99214 and 2.8K claims for 99484, compared with 225 claims for 99204. This concentration of claims toward high-volume, recurring-service codes is consistent with a practice that manages ongoing behavioral health needs rather than episodic or low-touch primary care.

Higher-complexity and lower-complexity established visit codes are not material to revenue: 99215 accounts for $4.4K (1.2% of Medicare revenue) and 99213 accounts for $1.6K (0.4%), and both are described as having typical, unremarkable volume in national comparisons. That pattern suggests the provider bills predominantly at the moderate-complexity established visit level (99214) rather than at the highest- or lowest-intensity E/M levels.

The provider has an established tenure in Medicare billing, with NPI enumeration dated 2010-09-08 (~16 years ago). Combined with the high-volume, high-rank profiles on behavioral-health outpatient codes, this longevity supports the interpretation of a sustained, specialist outpatient behavioral health operation in Miami, FL rather than a new or transient billing pattern.

Medicare: Complete Services Breakdown

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

5 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…	3,390	$80	$264.3K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	2,800	$30	$78.4K
99204	The 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…	230	$110	$25K
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…	40	$110	$4.4K
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…	40	$40	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Julio Enriquez Torres — 3 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1	32,760	140	$90	$25K
99213	2,025	30,010	80	$60	$12K
99215	204	8,550	40	$130	$10.7K
99204	10	19,040	40	$110	$7K
99484	1	60	90	$30	$6.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aneta Hopkins	SC	Professional Counselor	$0	$2.3M
Ridgewood Clinics PA	MS	Mental Health Counselor	$0	$1.7M
Meditelecare Of West Virginia PLLC	WV	Clinical Psychologist	$0	$962.6K
Denise Lyn-bradley	GA	Professional Counselor	$0	$713.8K
Jacqueline Bilodeau	VT	Clinical Social Worker	$0	$703.6K
Cheryl Gardner	GA	Professional Counselor	$0	$639.3K
Jamie Pease	RI	Clinical Social Worker	$0	$338.3K
Marie Bissell	NE	Gerontology Nurse Practitioner	$276.4K	$0
Leslie Acosta	KY	Family Nurse Practitioner	$238.4K	$0
Hildegard Hyde	VT	Mental Health Counselor	$0	$227.5K

Nearby Providers

Other providers in the same ZIP code as Julio Enriquez Torres, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nory's Home Services, Inc.	FL	Home Health Agency	$0	$33.8M
Absolute Home Health Inc.	FL	Home Health Agency	$0	$25.2M
Amazing Kidz Extended Care Inc.	FL	Pediatric Skilled Nursing Facility	$0	$14.4M
Dly Case Management Services, LLC.	FL	Social Worker	$0	$13.1M
Three-sixty Home Health Services LLC	FL	In Home Supportive Care Agency	$0	$11.7M
Cermeno's Home Services, Corp	FL	In Home Supportive Care Agency	$0	$11.3M
B & V Thera Pro Associates Corp	FL	Clinic/Center	$0	$10.6M
Lifetime Home Health Care Corp	FL	Home Health Agency	$0	$10.2M
Social Diversity LLC	FL	Community/Behavioral Health Agency	$0	$10.2M
Golden Years Servicing LLC	FL	General Practice Physician	$0	$9.7M

Julio Enriquez Torres — Billing Profile & Reimbursement Data

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Julio Enriquez Torres — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References