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.

Armando Sanchez (NPI 1831349372)

Armando Sanchez is a medical physician assistant provider located in Albuquerque, New Mexico. 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Armando Sanchez
Address	933 Bradbury Dr Se
City	Albuquerque
State	NM
ZIP	87106
Taxonomy	Medical Physician Assistant
NPI Enumerated	September 20, 2008

Payer Source	Total Paid
Medicare	$24.1K
Medicaid	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93298	The provider, who is a physician or other qualified healthcare professional, evaluates the data from a previously implanted subcutaneous cardiac rhythm monitor system via telemetric communication for…	400	$20	$6.4K
93294	The provider, a physician or other qualified health care professional, remotely analyzes, for a period up to 90 days, the function of a single, dual, multiple lead, or leadless pacemaker system,…	210	$20	$3.9K
93295	In this service the provider evaluates from a remote location an implantable single, dual, or multiple lead defibrillator system. The service includes his interim analyses during a period of up to 90…	160	$20	$3.5K
93297	The provider, who is a physician or other qualified healthcare professional, evaluates the physiologic data from the implantable physiologic cardiovascular monitoring system during a period of up 30…	170	$20	$2.7K
93280	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system. He changes various operating…	100	$20	$2.3K
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…	40	$60	$2K
93284	In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of various operating functions of an already implanted multiple lead defibrillator…	40	$30	$1.2K
93290	The provider performs a face–to–face evaluation and optimally adjusts the existing parameters of an already implanted cardiovascular physiologic monitoring system, reviews the results, and prepares a…	60	$10	$810
93283	The provider evaluates and adjusts the parameters, or settings, of various operating functions of a previously implanted dual lead transvenous implantable cardioverter defibrillator system, a device…	20	$40	$530
99441	N/A	20	$20	$460

Showing 1–10 of 11

Armando Sanchez — 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
99214	2,091	2,700	90	$70	$12.9K
93297	8	10	310	$20	$5.8K
93294	11	30	150	$20	$5.3K
93298	2	20	180	$20	$3.3K
93295	8	20	40	$20	$3.2K
93280	10	30	60	$40	$2.7K
99441	53	90	20	$30	$2K
93284	7	10	40	$40	$1.9K
93283	10	10	30	$40	$1.2K
93290	1	10	60	$10	$830