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.

Ray Chihara (NPI 1740438928)

Ray Chihara is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Houston, Texas. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Ray Chihara
Address	6550 Fannin St Ste 1501
City	Houston
State	TX
ZIP	77030
Taxonomy	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
NPI Enumerated	August 31, 2008

Payer Source	Total Paid
Medicare	$61.8K
Medicaid	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
43281	The provider performs repair of a paraesophageal hernia, where the stomach slides up next to the esophagus, using laparoscopy. He may also perform fundoplasty, wrapping part of the stomach around the…	20	$1,260	$22.7K
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…	150	$60	$9.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	90	$100	$8.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$130	$5.7K
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…	50	$100	$5.5K
43659	Use this code to report a new or unusual laparoscopic procedure on the stomach for which there is no specific code available.	10	$440	$4.8K
32674	This procedure involves visualizing the chest cavity and the mediastinal lymph nodes in order to remove them.	10	$170	$2.4K
99213	The provider sees an established 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…	20	$70	$1.4K
91040	The provider performs esophageal balloon dilation to determine whether the patient’s chest pain results from esophageal or cardiac causes. The procedure includes provocation, if performed.…	20	$40	$820
74360	The provider performs imaging supervision and interpretation, or S&I, for a separately reportable procedure where a provider inserts a balloon dilator into a patient's esophagus to ease an esophageal…	10	$20	$260

Ray Chihara — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43281	7	30	10	$1,110	$17.8K
99214	18,687	32,500	110	$80	$17.6K
99232	4,679	11,790	100	$60	$15.8K
43659	3	10	10	$840	$11K
99213	25,374	29,790	70	$60	$8.4K
99204	6,124	16,380	30	$110	$5.6K
99222	2,104	7,910	30	$100	$4.9K
32674	17	30	20	$150	$2.8K
91040	4	10	20	$40	$780
74360	6	10	20	$20	$370