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

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

Maria Prieto (NPI 1831306414)

Field	Value
Entity Type	Individual
Organization	Maria Prieto
Address	1531 Esplanade
City	Chico
State	CA
ZIP	95926
Taxonomy	Anesthesiology Physician
NPI Enumerated	May 16, 2007

Payer Source	Total Paid
Medicare	$56.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
01992	The provider performs anesthesia services for a patient undergoing a diagnostic or therapeutic nerve block or injection that a different provider performs. The provider performs this procedure with…	440	$100	$43.5K
01940	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is…	90	$90	$8.3K
01939	The provider performs anesthesia services for a patient undergoing percutaneous image–guided destruction procedures using a neurolytic agent. The anatomic area for the procedure is the cervical or…	30	$90	$2.6K
01200	The provider performs anesthesia services for a patient undergoing any closed procedure involving the hip joint. Closed means interventions that do not require an open surgical entry into the joint.	30	$80	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Maria Prieto — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
01992	6	190	30	$100	$7.4K
01940	6	80	30	$90	$3.7K
01939	10	30	20	$90	$2.3K
01200	1	10	20	$80	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randell Skau	CA	Surgery Physician	$1.7M	$0
Daniel Bonis	CA	Pain Medicine Physician	$535.6K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Sidharth Bagga	CA	Internal Medicine Physician	$496.3K	$0
Daniel Su	CA	Urology Physician	$395.2K	$18.9K
Ryan Hill	SC	Anesthesiology Physician	$373.4K	$0
Arnold Rey	CA	Family Medicine Physician	$373K	$0
Devinderjit Singh	CA	Interventional Cardiology Physician	$295.2K	$74.6K
Charlene Chang-smith	CA	Ophthalmology Physician	$271.5K	$0
Jason Phillips	CA	Urology Physician	$250.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enloe Medical Center	CA	General Acute Care Hospital	$0	$57.6M
Ampla Health	CA	Federally Qualified Health Center (FQHC)	$0	$38.1M
County Of Butte	CA	Adult Mental Health Clinic/Center	$0	$33.8M
County Of Butte	CA	Adolescent and Children Mental Health Clinic/Center	$0	$30.5M
County Of Butte	CA	Adult Mental Health Clinic/Center	$0	$25.4M
Norcal Anesthesia And Pain Affiliates, Inc.	CA	Ambulatory Surgical Clinic/Center	$5M	$1.1K
Zachary Lipman	CA	Anesthesiology Physician	$2.8M	$0
Advanced Eye Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$1.9M	$36.4K
Randall Williams	CA	General Practice Physician	$1.2M	$0
Kurt Johnson	CA	General Practice Physician	$1.1M	$0

Maria Prieto — Billing Profile & Reimbursement Data

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Maria Prieto — 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