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

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

Roland Hernandez (NPI 1720213580)

Field	Value
Entity Type	Individual
Organization	Roland Hernandez
Address	1600 E Jefferson St Ste 110
City	Seattle
State	WA
ZIP	98122
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	May 22, 2009

Payer Source	Total Paid
Medicare	$52K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
33533	Coronary artery bypass, using arterial graft(s); single arterial graft	20	$1,160	$18.6K
33361	The provider uses a catheter to insert an aortic valve replacement through the lumen of a catheter, in a service known as TAVI or TAVR. This code is specific to inserting the valve using a…	20	$610	$14.1K
99205	The 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…	50	$180	$9.2K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$150	$4.5K
33517	The provider diverts blood flow from damaged vessels in the heart by grafting a single vein segment taken from another location, such as the leg, while the patient is undergoing a coronary artery…	20	$140	$2.3K
76998	The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.	40	$50	$1.7K
99203	The provider sees a new 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 provider…	10	$100	$1.4K
33508	The provider employs surgical endoscopy to visualize structures surrounding the vein he harvests for a coronary artery bypass procedure.	30	$10	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Roland Hernandez — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
33361	45	60	40	$590	$24.6K
33533	21	50	20	$810	$15.3K
99223	1,209	2,570	30	$130	$6.4K
99205	332	1,820	30	$150	$5.4K
99203	2,612	3,140	30	$70	$3.3K
33517	2	10	20	$140	$2.2K
76998	5	20	20	$50	$1.2K
33508	7	40	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services-wa	WA	General Acute Care Hospital	$0	$62.4M
Providence Health & Services Washington	WA	General Acute Care Hospital	$0	$39.9M
Grays Harbor Community Hospital	WA	General Acute Care Hospital	$0	$34M
Georgetown Memorial Hospital	SC	General Acute Care Hospital	$0	$27.6M
Providence Health & Services Washington	WA	Family Medicine Physician	$0	$20M
Mercy Health System Corporation	WI	Multi-Specialty Clinic/Center	$0	$13.2M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$11.3M
Grays Harbor Community Hospital	WA	Rural Health Clinic/Center	$0	$7.7M
Providence Health & Services- Washington	WA	General Practice Physician	$0	$7.6M
Providence Health & Services - Washington	WA	Family Medicine Physician	$0	$7.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$25M	$186.7M
Swedish Health Services	WA	General Acute Care Hospital	$0	$125.3M
Pediatrix Medical Group Of Washington Inc Ps	WA	Neonatal-Perinatal Medicine Physician	$0	$20M
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	WA	Non-Surgical Family Planning Clinic/Center	$0	$18.7M
Advanced Lifeline Services Inc	WA	Certified Respiratory Therapist	$0	$11.1M
Seattle Emergency Physicians Services Inc Ps	WA	Emergency Medicine Physician	$0	$7.2M
Performance Modalities Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
The Polyclinic PLLC	WA	Ambulatory Surgical Clinic/Center	$838.3K	$3.5K
Jason Lee	WA	Vascular Surgery Physician	$574.1K	$0
Seattle Hand Surgery Group PC	WA	Ambulatory Surgical Clinic/Center	$322.1K	$0

Roland Hernandez — Billing Profile & Reimbursement Data

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Roland Hernandez — 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