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.

Jose Vega (NPI 1881955169)

Field	Value
Entity Type	Individual
Organization	Jose Vega
Address	675 S Avenue B
City	Yuma
State	AZ
ZIP	85364
Taxonomy	Family Medicine Physician
NPI Enumerated	June 4, 2012

Payer Source	Total Paid
Medicare	$1.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
83037	The analyst performs a test using a drop of blood obtained by fingerstick or venipuncture from the patient to rapidly measure the level of glycosylated hemoglobin, HgbA1c. The analyst uses a device…	120	$10	$1.2K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	30	$10	$190
99473	Report this code for calibrating a blood pressure monitoring device that has been validated for clinical accuracy and training the patient in its use.	30	$10	$130
96127	The provider performs a brief emotional/behavioral assessment of the patient using a standardized instrument (such as a recognized form). The provider scores and documents the assessment.	20	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Jose Vega — 1 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96372	980	1,560	40	$10	$1K
83037	2	30	40	$10	$450
96127	155	200	60	$1	$310
99473	2	10	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunset Community Health Center Inc	AZ	Federally Qualified Health Center (FQHC)	$0	$82.3M
Francisco Ordaz-chavez	AZ	Family Medicine Physician	$5.1K	$0
Lori Burris	NV	Family Medicine Physician	$1.5K	$0
Julia Luevanos	AZ	Family Nurse Practitioner	$800	$0
Melissa Pritchett	AZ	Family Nurse Practitioner	$760	$0
Angeles Olivarez	AZ	Medical Physician Assistant	$720	$0
April Rojas	NY	Nurse Practitioner	$690	$0

Jose Vega — Billing Profile & Reimbursement Data

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Jose Vega — 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

Frequently Asked Questions

References