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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Juan Vazquez (NPI 1790186690)

Field	Value
Entity Type	Individual
Organization	Juan Vazquez
Address	110 Irving Street Nw
City	Washington
State	DC
ZIP	20010
Taxonomy	Surgery Physician
NPI Enumerated	September 10, 2014

Payer Source	Total Paid
Medicare	$329.3K
Medicaid	$0

Key Findings

This provider’s Medicare business is the only payer activity on file: total Medicare revenue is $329.3K and there is no Medicaid billing on file, so payer mix is effectively single-payer Medicare for the claims captured here. That concentration means the provider’s financial profile and operational footprint are driven almost entirely by Medicare-covered nursing facility and debridement services.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 76.9% of this provider's total Medicare revenue. Those top three codes are 99309 (46.0% of Medicare revenue), 11042 (15.6%), and 11044 (15.2%), indicating dependence on a few high-revenue procedures.

The service mix (high volumes of 99309 alongside multiple debridement codes such as 11042, 11044, 11043, and 11045) points to an operational model focused on nursing facility E/M visits combined with wound care and surgical debridement. High claim counts for 99309 (1.8K claims) and substantial use of debridement codes (for example, 11042: 621 claims; 11044: 226 claims) suggest routine rounds in post-acute settings plus frequent procedural wound management.

99309 is the single largest revenue driver with $151.7K in revenue and 1.8K claims; it ranks #1070 of 28092 providers nationally (96th percentile; notably above typical national volume for this code). That rank and the descriptor indicate the provider is an outsized national contributor for nursing-facility subsequent care visits, making this a clear competitive strength and core service line.

11042 is the second major contributor with $51.5K revenue and 621 claims and ranks #470 of 10712 providers nationally (96th percentile; notably above typical national volume for this code). This placement signals the provider is also a leading national-volume performer for debridement to the subcutaneous layer, reinforcing a specialty focus on procedural wound care.

11044 generates $50.2K in revenue from 226 claims and is reported as rank #51 of 576 providers nationally (91th percentile; typical, unremarkable volume for this code). Although its percentile is high, the accompanying characterization as "typical, unremarkable" in the source data suggests that within the smaller national sample of providers billing this code, this provider’s activity is not flagged as an outlier beyond established norms.

The provider has been enumerated since 2014-09-10 (~12 years ago), indicating a multi-year presence in the Medicare billing stream; combined with the concentrated code mix, this suggests an established practice pattern of nursing-facility care and wound debridement over time. Continued monitoring of claims mix and volumes for 99309 and the principal debridement codes will be essential to understand whether these service lines expand or contract from this baseline.

The lack of any Medicaid billing on file means the provider has little to no participation in Medicaid markets based on available data, which limits exposure to that payer population and concentrates reimbursement risk and opportunity in Medicare. For analysts evaluating competitive standing or network opportunities, this provider should be treated as effectively Medicare-only in the current dataset, with negotiating leverage and clinical capacity tied to nursing-facility E/M and debridement services.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,790	$90	$151.7K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	620	$80	$51.5K
11044	The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…	230	$220	$50.2K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	110	$170	$18.5K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	580	$30	$16.9K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	250	$60	$14.4K
11047	The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service…	160	$90	$14K
99304	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…	200	$60	$12.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Juan Vazquez — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	4	60	270	$80	$45.5K
99308	30	60	250	$60	$22.9K
11047	4	10	160	$80	$13.7K
11042	1	20	100	$70	$13K
11043	4	10	50	$150	$12.7K
11044	1	10	20	$210	$10.3K
99304	2	10	40	$60	$5.1K
11045	1	10	100	$30	$5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mofei Liu	TX	Surgery Physician	$425.7K	$0
Alexander Kurth	CO	Surgery Physician	$400.5K	$0
Kim Brandau	UT	Colon & Rectal Surgery Physician	$351.1K	$0
Myron Redd	MN	Surgery Physician	$236.3K	$0
Kevin Penn	MT	Student in an Organized Health Care Education/Training Program	$192.9K	$0
Dustin Ridout	CO	Urology Physician	$191.2K	$0
Maxwell Fohtung	MO	General Practice Physician	$166K	$0
Gregory Caputy	HI	Plastic Surgery Physician	$112.5K	$0
Pradeep Rai	CO	Surgery Physician	$98.7K	$0
Ashley Chen	CO	Family Medicine Physician	$70.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Medstar Washington Hospital Center	DC	General Acute Care Hospital	$0	$239M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Whc Physician Group LLC	DC	General Practice Physician	$0	$93.8M
Medstar Medical Group Radiology, LLC	DC	Diagnostic Radiology Physician	$0	$17.5M
National Rehabilitation Hospital Inc	DC	Rehabilitation Hospital	$0	$16.9M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$11.7M
Medstar Heart Institute LLC	DC	Surgery Physician	$0	$4.8M
Bio-medical Applications Of Columbia Heights, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.6M
Washington Hospital Center Corp	DC	General Practice Physician	$0	$3.7M

Juan Vazquez — Billing Profile & Reimbursement Data

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Juan Vazquez — Billing Profile & Reimbursement Data

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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