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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Athanasios Manole (NPI 1780002220)

Field	Value
Entity Type	Individual
Organization	Athanasios Manole
Address	1540 Juan Tabo Blvd Ne Ste A
City	Albuquerque
State	NM
ZIP	87112
Taxonomy	Interventional Pain Medicine Physician
NPI Enumerated	April 2, 2014

Payer Source	Total Paid
Medicare	$553.2K
Medicaid	$0

Key Findings

This NPI is an interventional pain medicine practice whose billing mix centers on office-based evaluation/management plus image-guided injections and procedural pain management. The top codes include 99214 (office established visit), G3002 (monthly chronic pain management bundle), and J0585 (onabotulinumtoxinina units), and procedural CPTs such as 62323, 64635, 64636, and facet-related codes (64493/64494) are also present — together these codes reflect a mix of longitudinal pain management and interventional procedures.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 58.2% of this provider's total Medicare revenue, with 99214 generating $171K (31.6%), J0585 generating $75K (13.9%), and G3002 generating $68.9K (12.7%). This concentration signals heavy dependence on office visits, botulinum toxin administrations, and the chronic pain monthly bundle for the majority of Medicare dollars.

This provider reports Total Medicare revenue of $553.2K and has no Medicaid billing on file, so payer mix is effectively single-payer Medicare; there is no in-state Medicaid activity reported to evaluate Medicaid service lines or competitive standing. The absence of Medicaid billing indicates the provider’s revenue footprint and utilization patterns should be interpreted solely through a Medicare lens.

99214 volume is an outlier nationally: 2K claims, $84 avg paid/claim, $171K revenue (31.6%) and the provider ranks #1226 of 479517 providers nationally (100th percentile; extreme outlier). That ranking indicates exceptionally high national volume for established office visits relative to peers and suggests a high-frequency outpatient follow-up model.

G3002 and J0585 show different competitive signals: G3002 (1.1K claims, $60 avg, $68.9K; ranks #12 of 308 providers nationally, 96th percentile; notably above typical) indicates the provider is a prominent user of the monthly chronic pain management bundle relative to the national cohort that bills this newer code. J0585 (15K claims, $5 avg, $75K; ranks #823 of 3636, 77th percentile; typical) is used frequently but is more common among peers, consistent with routine therapeutic botulinum services rather than a unique specialty position.

Procedural mix confirms an interventional practice: 62323 (119 claims, $191 avg, $22.7K revenue, 4.2%), 64635 (64 claims, $307 avg, $19.6K, 3.6%), 64636 (64 claims, $168 avg, $10.8K, 2.0%), and facet codes 64493/64494 appear in the top codes and are reported at typical national percentiles. These codes indicate routine use of image-guided spinal injections and neurolytic/ablation procedures, aligning with an interventional spine/pain service line.

Ancillary and longitudinal-care activity is evident: G2212 (239 claims, $24 avg, $5.7K; ranks #354 of 6857, 95th percentile; typical) and 80305 drug-screening (303 claims, $12 avg, $3.6K; ranks #275 of 4794, 94th percentile; typical) show substantial use of prolonged visit time units and frequent urine drug testing. Together these patterns are consistent with ongoing monitoring and management of chronic pain patients in an outpatient setting.

The provider was enumerated on 2014-04-02 (~12 years ago) and has accumulated Lifetime Medicare revenue of $553.2K. Over roughly a 12-year tenure this level of Medicare revenue, combined with the code mix concentrated in office visits and outpatient procedures, suggests a steady outpatient interventional practice focused on chronic pain management rather than a high-volume hospital-based revenue stream.

Medicare: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,040	$80	$171K
J0585	Injection, onabotulinumtoxina, 1 unit	15,000	$10	$75K
G3002	Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation,…	1,150	$60	$68.9K
99215	The provider sees an established 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…	250	$110	$28.4K
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…	180	$160	$28.2K
62323	The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…	120	$190	$22.7K
64635	Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.	60	$310	$19.6K
J7326	Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	40	$410	$15.8K
64493	The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…	80	$200	$15K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	180	$80	$14.2K

Showing 1–10 of 41

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Athanasios Manole — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

41 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	6	10	15,320	$1	$77.9K
J7326	7	10	50	$400	$31.9K
64635	9	40	40	$360	$21.2K
G3002	1	10	60	$60	$19.2K
64493	12	50	40	$180	$13.7K
99214	7	2,700	90	$70	$12.9K
62323	5	30	40	$150	$11.8K
64615	11	10	50	$100	$8.4K
64490	18	20	30	$180	$7.9K
99215	44	960	40	$110	$7.8K

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manzano Medical Group, P.C.	NM	Physical Medicine & Rehabilitation Physician	$0	$2M
Modern Pain & Spine PC	NM	Interventional Pain Medicine Physician	$0	$1.6M
John Sloan	NM	Physical Medicine & Rehabilitation Physician	$237.2K	$0
Wallace Gladden	NM	Physical Medicine & Rehabilitation Physician	$113.5K	$0
Melissa Merhege	NM	Pain Medicine (Psychiatry & Neurology) Physician	$86.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
El Mirador Incorporated	NM	Home Health Agency	$0	$100.9M
Arca	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$91.7M
St. Anthony's Home Healthcare Service, LLC	NM	Home Health Agency	$0	$51.4M
Unica	NM	Community/Behavioral Health Agency	$0	$12.5M
Tasker Hatch Rowan LLC	NM	Dentist	$0	$9.8M
Quilted Care Ltd. Co.	NM	Assisted Living Facility	$0	$7.5M
Choice Recovery Path LLC	NM	Substance Use Disorder Rehabilitation Clinic/Center	$0	$3.4M
Bio-medical Applications Of New Mexico, Inc.	NM	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.1M
Foust Behavioral Services, LLC	NM	Social Worker	$0	$1.7M
Trucare Dental Wyoming Blvd LLC	NM	Dentist	$0	$1.4M

Athanasios Manole — Billing Profile & Reimbursement Data

Sign up for Athanasios Manole — Billing Profile & Reimbursement Data policy alerts

Athanasios Manole — Billing Profile & Reimbursement Data

Sign up for Athanasios Manole — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References