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

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

Andreluiz D'avila (NPI 1881709111)

Andreluiz D'avila is a clinical cardiac electrophysiology physician provider located in Boston, Massachusetts. This profile covers 16 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	Andreluiz D'avila
Address	185 Pilgrim Rd # Baker4
City	Boston
State	MA
ZIP	02215
Taxonomy	Clinical Cardiac Electrophysiology Physician
NPI Enumerated	August 19, 2006

Payer Source	Total Paid
Medicare	$93K
Medicaid	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93656	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider punctures the thin wall between the heart…	40	$790	$31.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150	$110	$16.7K
93654	A comprehensive electrophysiologic (EP) study involves the provider placing wire electrodes in the heart to measure electrical activity. The provider induces, or attempts to induce, arrhythmia. The…	10	$780	$10.1K
33340	The provider implants a device that he delivers through a catheter placed through the skin under fluoroscopic guidance and across the septum to close off the left atrial appendage, uses angiography…	20	$450	$9.4K
93655	In this procedure, the provider tests the electrical activity in the heart after an ablation procedure, to test its effectiveness and identify any other areas responsible for an abnormal rhythm. He…	20	$260	$5.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$150	$3.2K
93657	In this procedure, the provider uses radiofrequency energy to treat an additional source of atrial fibrillation, an abnormal heart rhythm, following a radiofrequency ablation procedure.	10	$260	$3.1K
93462	The provider passes a catheter into the left ventricle of the heart by puncturing the septum, a partition between the ventricles, or by incising the skin between the ribs and accessing the apex (top)…	10	$170	$2.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$70	$2.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	260	$10	$1.8K

Showing 1–10 of 16

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93656	18	60	30	$790	$28.3K
33340	17	30	20	$580	$18.6K
93654	4	10	10	$770	$11.6K
93657	30	30	20	$250	$9.3K
99232	4,091	5,400	70	$60	$9.3K
99223	2,900	4,430	30	$140	$7.6K
93655	21	40	20	$250	$7.5K
99204	4,773	5,870	30	$120	$5.6K
93294	171	220	130	$20	$4.9K
99222	129	3,420	30	$100	$4.5K

Andreluiz D'avila — Billing Profile & Reimbursement Data

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Andreluiz D'avila — 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