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

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

Mario Rico (NPI 1699086272)

Field	Value
Entity Type	Individual
Organization	Mario Rico
Address	2333 Biddle Ave
City	Wyandotte
State	MI
ZIP	48192
Taxonomy	Certified Registered Nurse Anesthetist
NPI Enumerated	June 29, 2010

Payer Source	Total Paid
Medicare	$7K
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
00910	The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…	50	$50	$2.6K
00918	The provider performs anesthesia services for a patient undergoing fragmentation, manipulation, and/or removal of a ureteral calculus. The surgical provider accesses the ureter through the urethra,…	20	$90	$1.7K
01214	The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.	10	$160	$1.7K
00731	The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…	20	$60	$900

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. Michigan Distribution

Mario Rico — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01214	149	170	10	$150	$2.5K
00731	1,059	1,570	20	$70	$1.8K
00918	7	60	10	$90	$1.3K
00910	4	250	20	$60	$1000

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Wyandotte Hospital	MI	General Acute Care Hospital	$0	$60.5M
Henry Ford Health System	MI	Anesthesiology Physician	$0	$5.5M
Mustafa Hashem	MI	Interventional Cardiology Physician	$749.9K	$0
Subrahmanya Yellayi	MI	Cardiovascular Disease Physician	$386K	$0
Syed Jafri	MI	Cardiovascular Disease Physician	$301.6K	$0
Qaiser Shafiq	MI	Interventional Cardiology Physician	$289K	$0
Mohammed Abu-mahfouz	MI	Cardiovascular Disease Physician	$271.9K	$0
Kempaiah Gowda	MI	Cardiovascular Disease Physician	$262.5K	$0
Ameen Abdulmalik	MI	Interventional Cardiology Physician	$249.6K	$0
Irfan Ahmed	OH	Psychiatry Physician	$185.7K	$52.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epmg Downriver PLLC	MI	Emergency Medicine Physician	$0	$11.2M
Michael Whitworth	MI	MOHS-Micrographic Surgery Physician	$697.9K	$0
Ghazwan Atto	MI	Internal Medicine Physician	$680.5K	$0
Fadi Delly	MI	Interventional Pain Medicine Physician	$431.8K	$0
Ravinder Gandhi	MI	Pulmonary Disease Physician	$417.5K	$0
Anne Abrahamson	MI	Physical Medicine & Rehabilitation Physician	$406.9K	$0
Robert Pensler	MI	Critical Care Medicine (Internal Medicine) Physician	$310.4K	$92.2K
Nitin Gandhi	MI	Neurology Physician	$351.2K	$0
Ramy Alosachie	MI	Internal Medicine Physician	$308.7K	$0
Sarhad Najor	MI	Internal Medicine Physician	$298.6K	$0

Mario Rico — Billing Profile & Reimbursement Data

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Mario Rico — 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