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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoezer Lugo Ranal
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    Joezer Lugo Ranal — Billing Profile & Reimbursement Data

    NPI 1831355460 · Houston, TX · Physical Medicine & Rehabilitation Physician

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    Joezer Lugo Ranal is a physical medicine & rehabilitation physician provider located in Houston, Texas. This profile covers 14 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoezer Lugo Ranal
    Address16840 Buccaneer Ln Ste 120
    CityHouston
    StateTX
    ZIP77058
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedAugust 4, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller at scale: total Medicare revenue is $1M while there is no Medicaid billing on file. The NPI was enumerated on 2008-08-04 (~18 years ago), indicating an established billing history confined to Medicare payers rather than a dual-payer footprint.

    Revenue is highly concentrated in a very small set of procedure codes: the precomputed top three Medicare codes (J7320, 77002, 20610) account for 83.0% of this provider’s total Medicare revenue. That concentration means a handful of codes drive the vast majority of receipts and will dominate any utilization or reimbursement analysis.

    The code mix points to a procedure-focused interventional practice centered on joint and image-guided procedures: J7320 (intra‑articular hyaluronan) generated $407.1K (41.6% of Medicare revenue), 77002 (fluoroscopic guidance for needle placement) generated $246.6K (25.2%), and 20610 (joint injection without ultrasound) generated $159K (16.2%). Together with high-volume contrast coding, these entries indicate operations oriented toward high-frequency, device-and-supply‑intensive ambulatory procedures rather than E/M office care.

    On competitive standing, this provider ranks far above typical national volumes for multiple top procedures: J7320 ranks #10 of 462 providers nationally (98th percentile; extreme outlier), 77002 ranks #12 of 7010 providers nationally (100th percentile; extreme outlier), and 20610 ranks #18 of 39752 providers nationally (100th percentile; extreme outlier). These rankings characterize the provider as a major national outlier in volume for these specific procedures rather than a modest local practitioner.

    Contrast and supply billing is unusually large by claim count and rank: Q9965 shows 101.7K claims, $1 avg paid/claim, $101.7K revenue and ranks #2 of 299 providers nationally (100th percentile; extreme outlier), while Q9966 shows 71K claims with $0 revenue listed and ranks #7 of 1716 providers nationally (100th percentile; extreme outlier). The extremely high claim counts for these low-dollar or zero-dollar paid items suggest substantial unitized supply or contrast usage linked to the high procedural throughput.

    Evaluation-and-management and chronic-care codes generate a very small share of revenue compared with procedures: 99212 had 264 claims and $9K revenue (0.9% of Medicare revenue) and 99202 had 188 claims and $8.6K revenue (0.9%). This disparity reinforces that the business model is procedure-dominant rather than built around office visit volume or bundled primary-care management.

    Multiple top codes are explicitly labeled in the data as “extreme outlier” or “notably above typical national volume,” which should be treated as a statistical characterization rather than an operational conclusion. Specifically, several of the biggest revenue drivers (J7320, 77002, 20610, Q9965, Q9966) are identified as extreme outliers in national rank/percentile and therefore warrant targeted benchmarking and peer review when assessing market position or utilization patterns.

    From a business-risk perspective, the combination of single-payer concentration (Medicare only), high revenue concentration in the precomputed top three codes (83.0%), and extreme national outlier ranks for those procedures implies sensitivity to policy or reimbursement changes affecting those CPT/HCPCS codes. Given the provider’s ~18-year tenure on file, analysts should focus monitoring on coverage policy shifts, code-specific reimbursement updates, and supply/contrast pricing that could materially affect the $1M Medicare revenue base.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg81,430$10$407.1K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…2,830$90$246.6K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…2,840$60$159K
    Q9965Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml101,670$1$101.7K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg3,070$10$39.9K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…260$30$9K
    99202The 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…190$50$8.6K
    99426Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…90$50$4K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…50$50$2.2K
    99439The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…20$40$720

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J73201402,780$10$38.5K
    J330411301,340$10$25.3K
    9949031,520180$40$16.2K
    994261120110$50$11.8K
    Q9965120490$1$10.1K
    99439176090$40$7.4K
    2061012,48060$50$5.5K
    77002156030$70$5.5K
    9921235,51030$40$2.2K
    9920211,22020$40$1.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Integrated Rehab Consultants LLCILPhysical Medicine & Rehabilitation Physician$0$4.3M
    Jason RedwineTXFamily Nurse Practitioner$1.3M$0
    Ahmed ElgamalILPhysical Medicine & Rehabilitation Physician$974.1K$239.8K
    Kelly MctaggartFLFamily Nurse Practitioner$972.7K$0
    Pedro GonzalezILPhysical Medicine & Rehabilitation Physician$563.4K$372.4K
    Sung-joon ChoTXPhysical Medicine & Rehabilitation Physician$901.4K$0
    Hillary DrozdTXFamily Nurse Practitioner$900.5K$0
    Amish PatelILPhysical Medicine & Rehabilitation Physician$696.4K$156.1K
    Meljun GomezILAdult Health Nurse Practitioner$448.6K$307.5K
    Hassan AkinbiyiAZPhysical Medicine & Rehabilitation Physician$729.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Joezer Lugo Ranal, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gulf Coast Community Health Services, IncTXHome Health Agency$0$45M
    Concord Life Sciences, LLCTXClinical Medical Laboratory$9.6M$1.3M
    Orbis Surgery Center LLCTXAmbulatory Surgical Clinic/Center$854.7K$1.1K
    Daniel O'neillTXOrthopaedic Surgery Physician$309.7K$0
    Bill ChangTXVascular Surgery Physician$291.9K$0
    Matthew HiggsTXSports Medicine (Family Medicine) Physician$204.2K$0
    Joseph NaoumTXVascular Surgery Physician$169.8K$0
    Marston HoltTXOrthopaedic Surgery Physician$166.1K$0
    Dennis ZgaljardicTXClinical Neuropsychologist$124.8K$0
    Bingzhong ChenTXNeurology Physician$96.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Joezer Lugo Ranal — 6 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas