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

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

Ernesto Santos Martin (NPI 1790016020)

Ernesto Santos Martin is a vascular & interventional radiology physician provider located in New York, New York. This profile covers 11 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.

(source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Ernesto Santos Martin
Address	1275 York Ave
City	New York
State	NY
ZIP	10065
Taxonomy	Vascular & Interventional Radiology Physician
NPI Enumerated	January 27, 2010

Payer Source	Total Paid
Medicare	$18.1K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
36561	A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the…	10	$300	$4.2K
77012	In this procedure, the provider performs supervision and interpretation for a separately reportable procedure that uses computed tomography guided needle placement, as in biopsy or aspiration. Report…	70	$60	$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…	40	$60	$2.1K
20225	The provider extracts samples of bone tissue from a bone in the deep tissue, such as a back bone or thigh bone, using a needle or trocar. He submits the specimen for laboratory analysis to determine…	20	$120	$1.9K
20220	A superficial bone biopsy is a procedure to obtain a sample of bone tissue to further analyze a suspected medical condition or infection.	20	$70	$1.4K
49180	The provider takes a tissue sample from within or behind the abdominal cavity with the use of a needle inserted through the abdominal wall. He sends the tissue to a laboratory for analysis to…	20	$70	$1.4K
76942	Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…	50	$30	$1.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	10	$40	$570
20206	A percutaneous needle muscle biopsy is a surgical procedure to obtain a sample of muscle tissue to further analyze a suspected medical condition or infection.	10	$40	$530
76937	The provider uses ultrasound to help guide procedures requiring vascular access including central venous, peripheral venous, or arterial access procedures.	40	$10	$460

Showing 1–10 of 11

Ernesto Santos Martin — 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
99213	23,067	31,440	80	$70	$12.1K
36561	100	150	20	$360	$8.3K
20225	7	10	20	$170	$5.1K
76942	206	810	30	$40	$2.1K
99202	1,175	1,490	20	$50	$1.9K
77012	8	200	20	$60	$1.7K
20206	8	10	20	$60	$1.3K
20220	2	10	10	$80	$1.2K
49180	3	20	10	$70	$1.1K
77001	234	310	30	$30	$930