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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Gustavo Diaz (NPI 1730123977)

Field	Value
Entity Type	Individual
Organization	Gustavo Diaz
Address	911 E. 20th St.
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Physician Assistant
NPI Enumerated	June 16, 2006

Payer Source	Total Paid
Medicare	$8.6K
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
27245	In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…	30	$120	$3.1K
27236	In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…	20	$120	$2.4K
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…	20	$110	$1.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$80	$1.4K

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. South Dakota Distribution

Gustavo Diaz — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27245	7	20	20	$590	$13.1K
27236	7	20	20	$550	$9.9K
99223	276	340	40	$130	$7.5K
99222	294	450	30	$90	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coastal Carolina Primary Care, LLC	SC	Endocrinology, Diabetes & Metabolism Physician	$0	$4M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
William Knopf	GA	Cardiovascular Disease Physician	$1.1M	$0
Carmine Oddis	GA	Cardiovascular Disease Physician	$814.4K	$0
Carter Tharpe	GA	Cardiovascular Disease Physician	$770.4K	$0
Michael Mccaffrey	SC	Neurology Physician	$723.1K	$0
Wendell Ellis	GA	Cardiovascular Disease Physician	$583.3K	$0
Erik Schneibel	GA	Cardiovascular Disease Physician	$563.9K	$0
Julius Elmore	GA	Cardiovascular Disease Physician	$559.9K	$0
Nasser Tehrani	GA	Interventional Cardiology Physician	$535.9K	$0

Gustavo Diaz — Billing Profile & Reimbursement Data

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Gustavo Diaz — 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

Frequently Asked Questions

References