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

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

Marcos Valerio (NPI 1770873317)

Field	Value
Entity Type	Individual
Organization	Marcos Valerio
Address	4100 Sw 57th Ave
City	Miami
State	FL
ZIP	33155
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	April 17, 2011

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
37229	N/A	30	$5,560	$189.1K
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	70	$2,280	$164.2K
37227	N/A	20	$9,070	$163.3K
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…	1,030	$110	$108.8K
37225	N/A	20	$3,820	$76.5K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	140	$310	$44.9K
37233	N/A	40	$900	$32.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	200	$160	$32.2K
75898	As a follow–up study, the provider performs vessel imaging called angiography through the catheter that is already present in the vessel because of previous therapy, embolization, or infusion, other…	30	$800	$24.1K
36247	Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under…	40	$620	$22.2K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Marcos Valerio — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37229	21	70	20	$6,370	$350.1K
37227	31	50	20	$7,720	$254.7K
78431	56	140	60	$1,970	$175.3K
37225	52	90	20	$4,570	$164.7K
A9555	91	180	150	$310	$65.8K
37252	54	110	30	$650	$30.5K
37233	6	20	30	$850	$30.5K
93306	1,074	2,220	190	$100	$25.2K
99214	1,769	32,760	140	$90	$25K
37253	33	90	70	$130	$14.9K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baycare Medical Group, Inc.	FL	General Practice Physician	$0	$14.9M
Ali Saberi	FL	Internal Medicine Physician	$5.7M	$0
Jaffar Hilli	MO	Hematology & Oncology Physician	$1.6M	$0
Julio Gonzalez-paoli	FL	Rheumatology Physician	$1.4M	$0
Georgia Shapiro	FL	Medical Oncology Physician	$980.2K	$0
Nora Vera	FL	Dermatology Physician	$849.9K	$0
James Connors	FL	MOHS-Micrographic Surgery Physician	$735.7K	$0
Vikas Desai	NY	Internal Medicine Physician	$608.7K	$106.2K
Muhammad Mustafa	FL	Cardiovascular Disease Physician	$629.4K	$0
Jennifer Frangos	CA	Family Medicine Physician	$570.6K	$30

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Variety Children's Hospital	FL	Children's Hospital	$0	$175.3M
Nicklaus Children's Pediatric Specialists, LLC	FL	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$66.2M
Alternative Medical Healthcare Services, Corp.	FL	Home Health Agency	$0	$61.9M
Harmony Homes Of Miami, Inc	FL	Home Health Agency	$0	$41.7M
Hha Home Services Corp	FL	Developmentally Disabled Services Day Training Agency	$0	$30M
Bocasa Gourmet, LLC.	FL	Attendant Care Provider	$0	$24.8M
Continental Home Health Care, Inc.	FL	Home Health Agency	$0	$23.4M
Preferred Home Health Care, Inc.	FL	Home Health Agency	$0	$15.7M
First Quality Medical Supplies, Inc	FL	Durable Medical Equipment & Medical Supplies	$0	$14.8M
Syx, Corp.	FL	Community/Behavioral Health Agency	$0	$13.4M

Marcos Valerio — Billing Profile & Reimbursement Data

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Marcos Valerio — 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