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

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

Rui Fernandes (NPI 1861467078)

Field	Value
Entity Type	Individual
Organization	Rui Fernandes
Address	655 W 8th St
City	Jacksonville
State	FL
ZIP	32209
Taxonomy	Oral & Maxillofacial Surgery (D.M.D.)
NPI Enumerated	February 21, 2006

Payer Source	Total Paid
Medicare	$30.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
38724	The provider excises the lymph nodes and any diseased soft tissue he finds in the cervical area. He takes care to dissect free and preserve the spinal accessory nerve, the jugular vein, and the…	10	$1,050	$11.5K
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…	110	$60	$7K
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	$100	$4.4K
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…	30	$130	$3.6K
99203	The provider sees a new 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 provider…	30	$90	$2.8K
15860	The provider assesses the blood flow in grafted tissue by injecting an illuminating dye to ensure the graft has an adequate blood supply and will remain healthy.	10	$40	$570
70355	The provider takes panoramic X–rays of the patient’s upper and lower jaws to diagnose a fracture or injury to the jaw.	10	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Rui Fernandes — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
38724	25	30	20	$800	$27.3K
99214	25,096	32,760	140	$90	$25K
99213	12,723	30,010	80	$60	$12K
99204	11,649	19,040	40	$110	$7K
99203	6,224	11,720	40	$70	$4.4K
15860	7	10	20	$50	$980
70355	25	30	30	$10	$560

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Clinical Practice Association Inc	FL	Surgery Physician	$0	$79.3M
University Of Florida Jacksonville Physicians, Inc.	FL	Internal Medicine Physician	$0	$41.4M
Larry Wilf	FL	Nuclear Radiology Physician	$1.2M	$0
Fernando Kafie	FL	Vascular Surgery Physician	$723.1K	$0
Mansoor Mughal	FL	Ophthalmology Physician	$432.4K	$41.5K
Felice Esposito	PA	Diagnostic Radiology Physician	$153.2K	$212.3K
Tyler Campbell	RI	Diagnostic Radiology Physician	$252K	$100.4K
Aditya Saini	FL	Clinical Cardiac Electrophysiology Physician	$332.5K	$0
Charles Potter	GA	Neonatal-Perinatal Medicine Physician	$0	$275.9K
Larry Davis	GA	Dentist	$0	$262.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shands Jacksonville Medical Center Inc	FL	General Acute Care Hospital	$0	$75.1M
Carlene Gentles	FL	Diagnostic Radiology Physician	$1.3M	$0
Lindsay Chandler	FL	Foot & Ankle Surgery Podiatrist	$344.4K	$0
Amanda Kent	FL	Diagnostic Radiology Physician	$203K	$0
Ambar Patel	FL	Cardiovascular Disease Physician	$174.8K	$0
Dalys Haymes	FL	Diagnostic Radiology Physician	$166.1K	$0
Martin Zenni	FL	Interventional Cardiology Physician	$117.2K	$0
Robert Kim	FL	Clinical Cardiac Electrophysiology Physician	$114.1K	$0
Ira Harmon	FL	Specialist	$98.8K	$0
Mark Gould	FL	Orthopaedic Foot and Ankle Surgery Physician	$94.1K	$0

Rui Fernandes — Billing Profile & Reimbursement Data

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Rui Fernandes — 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