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

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

Erica Flores (NPI 1851685309)

Field	Value
Entity Type	Individual
Organization	Erica Flores
Address	1847 E Southern Ave Ste 4
City	Tempe
State	AZ
ZIP	85282
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 1, 2011

Payer Source	Total Paid
Medicare	$499.5K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer in the dataset: lifetime Medicare revenue is $499.5K and there is no Medicaid billing on file, which means analyses of payer mix and utilization should treat Medicare as the dominant/only public payer exposure for ERICA FLORES. That concentration will magnify the impact of any utilization trends or policy changes that affect Medicare reimbursement for cardiac diagnostics and E/M visits.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top three codes by revenue (99214, 78452, 93229) account for 50.7% of total Medicare revenue. Individually those three contribute $96.8K (99214, 19.4%), $95.3K (78452, 19.1%), and $61.2K (93229, 12.3%), indicating that half of the practice’s Medicare dollars come from one high‑level E/M code, nuclear cardiology imaging, and ambulatory cardiac monitoring.

The code mix points to an outpatient cardiology practice that combines high volumes of office evaluation/management with advanced noninvasive cardiac diagnostics: high‑level E/M codes 99214 and 99213 are major revenue drivers alongside nuclear stress imaging 78452, echocardiography 93306, ECG/stress testing codes 93000 and 93015, and radiopharmaceutical A9502. This pattern suggests the provider both manages established patients longitudinally and performs onsite diagnostic studies (both imaging and physiologic monitoring) rather than a panel focused only on procedures or only on clinic visits.

Several codes place the provider well above national peers for volume in specific services. 99214 is labeled an "extreme outlier" (98th percentile) nationally, and 78452 is "notably above typical" (97th percentile); similarly, A9502 ranks in the 98th percentile and 93015 in the 97th percentile, indicating unusually high throughput for nuclear cardiology and stress testing relative to the national provider population. These elevated standings point to programmatic capacity in nuclear stress testing and related radiopharmaceutical use beyond what a typical mid‑size cardiology practice reports.

By contrast, some diagnostic monitoring and echocardiography codes are in typical ranges: 93229 (remote/wearable ECG monitoring) is at the 87th percentile and described as "typical, unremarkable volume," while 93306 (2D transthoracic echo) sits in the 69th percentile and is also characterized as typical. This mix indicates the practice is not uniformly an outlier across all cardiac diagnostics—some monitoring and imaging volumes track within expected bounds for cardiology providers.

Operationally, the provider shows substantial use of consumable and drug items tied to imaging: 589 claims for A9502 (Technetium tc‑99m tetrofosmin) produced $44.8K and 972 claims for J2785 (regadenoson) produced $40.8K, with both codes ranked well above typical peers (A9502 in the 98th percentile; J2785 in the 94th percentile labeled "typical, unremarkable volume"). These counts and ranks reinforce that nuclear stress testing and its associated supplies/drugs are a routine and material component of billed services.

Tenure data show the NPI was enumerated 2011-06-01 (~15 years ago), indicating a sustained operational presence in the market. That level of tenure, combined with the outsized volumes for specific codes, is consistent with an established referral base and durable service lines in outpatient cardiology diagnostics and E/M care.

For payers and network analysts, a few practical implications follow: Medicare revenue concentration ($499.5K total with 50.7% from the top three codes) and zero Medicaid billing mean utilization management, prior authorization, and reimbursement negotiations should prioritize high‑impact areas—especially 99214 and nuclear cardiology (78452, A9502, J2785). Contracting discussions should consider the provider’s outsized national ranking on several codes (including an "extreme outlier" status for 99214) when assessing network value, expected volumes, and utilization review thresholds.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,080	$90	$96.8K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	300	$320	$95.3K
93229	In this procedure, the provider, typically a technician, places a wearable electrocardiographic monitoring device on the patient, instructs him in its use, and monitors the transmissions, to detect…	100	$640	$61.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	330	$140	$46.6K
A9502	Technetium tc-99m tetrofosmin, diagnostic, per study dose	590	$80	$44.8K
J2785	Injection, regadenoson, 0.1 mg	970	$40	$40.8K
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…	590	$60	$35.7K
99204	The provider sees a new 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 provider…	170	$120	$20.2K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	400	$50	$19.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	930	$10	$9.3K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Erica Flores — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93229	1	180	40	$650	$31.8K
93306	1	540	240	$100	$31.3K
78452	1	360	80	$270	$29.8K
99214	1	10,410	120	$80	$20.6K
J2785	1	260	350	$40	$18.1K
A9502	1	130	150	$80	$16.2K
93925	1	320	30	$170	$9.9K
99213	2	9,600	80	$60	$9.6K
93880	1	520	50	$120	$9.6K
93970	1	520	50	$100	$7.6K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Hospital Based Physicians Arizona LLC	AZ	Multi-Specialty Clinic/Center	$0	$77.8M
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Tri-state Memorial Hospital	WA	Critical Access Hospital	$0	$14.5M
Porter Physician Services LLC	IN	Family Medicine Physician	$0	$6.4M
Guillermo Font	IL	Maternal & Fetal Medicine Physician	$0	$4.9M
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Migaela Reedy	AZ	Acute Care Nurse Practitioner	$2M	$0
Hani Rashid	AZ	Rheumatology Physician	$1.9M	$0
Kalid Adab	WI	Hematology & Oncology Physician	$259.5K	$1.2M
Benjamin Benson	AZ	Diagnostic Radiology Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Horizon Youth Homes	AZ	Community/Behavioral Health Agency	$0	$61.5M
Tusa Integrated Clinic LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.6M
Crisis Preparation And Recovery, Inc	AZ	Community/Behavioral Health Agency	$0	$37.3M
Ulu Care, LLC	AZ	Community Health Clinic/Center	$0	$33.2M
Desert Rain Behavioral Health Services, LLC	AZ	Community/Behavioral Health Agency	$0	$18.1M
Tiger Care LLC	AZ	Respite Care	$0	$15.7M
Newfound Hope LLC	AZ	Community/Behavioral Health Agency	$0	$12.8M
Fountains Of Hope Behavioral Health LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.6M
Northsight Recovery LLC	AZ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.5M
Emblem Healthcare, Inc.	AZ	Home Health Agency	$0	$8.9M

Erica Flores — Billing Profile & Reimbursement Data

Sign up for Erica Flores — Billing Profile & Reimbursement Data policy alerts

Erica Flores — Billing Profile & Reimbursement Data

Sign up for Erica Flores — Billing Profile & Reimbursement Data policy alerts

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