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

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

Robert Loya (NPI 1699959841)

Field	Value
Entity Type	Individual
Organization	Robert Loya
Address	962 Wayne Ave Ste 250
City	Silver Spring
State	MD
ZIP	20910
Taxonomy	Medical Physician Assistant
NPI Enumerated	December 24, 2007

Payer Source	Total Paid
Medicare	$234.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	830	$130	$107.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	830	$40	$36.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	360	$100	$34.6K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	480	$30	$16.3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	100	$120	$11.7K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	220	$50	$11.2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	60	$140	$8.6K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	$150	$5.5K
99491	The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare…	20	$60	$980
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$60	$770

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Robert Loya — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99350	12	200	60	$130	$24.4K
99487	6	50	80	$100	$18.2K
G0439	1,038	2,320	90	$130	$16K
99490	18	220	110	$50	$15K
99491	30	30	60	$60	$10.6K
99489	11	50	60	$50	$8.9K
99439	14	140	60	$40	$7.4K
99497	782	850	50	$70	$6.1K
99345	14	90	30	$140	$5.8K
G0438	85	500	20	$170	$4.5K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Associates P.A., P.C.	VA	Emergency Medicine Physician	$0	$85.6M
St Agnes Healthcare Inc	MD	Internal Medicine Physician	$0	$11.5M
Seton Medical Group, Inc	MD	Internal Medicine Physician	$0	$5.9M
St. Agnes Healthcare, Inc.	MD	General Acute Care Hospital	$0	$5.4M
Naveed Shah	RI	Pulmonary Disease Physician	$1.4M	$0
Nasser Nasseri-asl	MD	Specialist	$1.2M	$0
St. Agnes Healthcare, Inc.	MD	Clinical Medical Laboratory	$147.4K	$890.8K
Laeeq Butt	VA	Internal Medicine Physician	$942.5K	$0
Rahel Yirga	VA	Internal Medicine Physician	$803.8K	$0
Richard Hudes	MD	Radiation Oncology Physician	$778.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality One Care Home Health Inc.	MD	Home Health Agency	$0	$61.8M
Project Redirect Inc	MD	Adult Mental Health Clinic/Center	$0	$48.4M
Automatic Nursing Care Services, Inc.	MD	Home Health Agency	$0	$43.8M
Mindoula Health Inc.	MD	Community/Behavioral Health Agency	$0	$29M
Symbral Foundation For Community Services Inc	MD	Intellectual Disabilities Intermediate Care Facility	$0	$17.3M
Mcs, PC	MD	Community/Behavioral Health Agency	$0	$14.5M
Vesta, Inc.	MD	Community/Behavioral Health Agency	$0	$9.9M
T S Trask Inc	MD	Community/Behavioral Health Agency	$0	$9.2M
Affiliated Sante Group	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.6M
Consonant Healing Medical Associates	MD	Surgery Physician	$0	$7.2M

Robert Loya — Billing Profile & Reimbursement Data

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Robert Loya — 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