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

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

Fernando Madero Gorostieta (NPI 1720219637)

Field	Value
Entity Type	Individual
Organization	Fernando Madero Gorostieta
Address	17200 St Lukes Way
City	The Woodlands
State	TX
ZIP	77384
Taxonomy	Hospitalist Physician
NPI Enumerated	July 27, 2009

Payer Source	Total Paid
Medicare	$48.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	120	$110	$13.3K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	100	$90	$8.7K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	60	$90	$5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	80	$60	$4.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	50	$80	$4.5K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	110	$40	$4.4K
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	$130	$4.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$120	$3.4K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	10	$50	$520

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Fernando Madero Gorostieta — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1,458	1,840	240	$70	$35K
99308	1,591	1,600	170	$50	$23.8K
99310	672	860	80	$100	$19K
99233	4,747	9,320	100	$90	$17.9K
99232	6,691	11,790	100	$60	$15.8K
99223	6,134	9,990	40	$130	$9.5K
99239	2,268	4,200	70	$90	$7.8K
99344	9	340	20	$90	$3.4K
G0180	53	1,510	20	$40	$1.3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hermann Hospital Based Physician Group	TX	Emergency Medicine Physician	$0	$27.4M
South Sound Inpatient Physicians PLLC	WA	Internal Medicine Physician	$0	$17.6M
Sound Physicians Of Illinois, LLC	MO	Hospitalist Physician	$0	$5M
Vishnu Madireddy	IL	Internal Medicine Physician	$389K	$3.1M
Sreenath Kodali	IA	Hematology & Oncology Physician	$3.2M	$0
Ossama Zorub	IN	Hospitalist Physician	$191.5K	$2M
Ella Leung	TX	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Haris Zahoor	TX	Medical Oncology Physician	$1.6M	$0
Misbah Zmily	NM	Internal Medicine Physician	$609.4K	$703K
Alberto Lopez	TX	Clinical Cardiac Electrophysiology Physician	$1.3M	$0

Nearby Providers

Other providers in the same ZIP code as Fernando Madero Gorostieta, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Jenson	TX	Foot & Ankle Surgery Podiatrist	$13.1M	$0
Ngozi Ladokun	TX	Family Nurse Practitioner	$2.9M	$0
Gwendoline Menga	TX	Rheumatology Physician	$1.8M	$0
Carmen Perez-masuelli	TX	Rheumatology Physician	$1.8M	$0
Christopher Nguyen	TX	Interventional Cardiology Physician	$1.7M	$0
Tonya Cockrill	TX	Rheumatology Physician	$1.6M	$0
Frank Ruda	TX	Ophthalmology Physician	$1.2M	$0
Elham Abbasi-hafshejani	TX	Hematology & Oncology Physician	$1.2M	$0
Travis Hird	TX	Physical Medicine & Rehabilitation Physician	$1.2M	$0
Robert Cook-norris	TX	MOHS-Micrographic Surgery Physician	$918.4K	$0

Fernando Madero Gorostieta — 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