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

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

Noel R. Fajardo Md PC (NPI 1891056370)

Noel R. Fajardo Md PC is a specialist provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Noel R. Fajardo Md PC
Address	3901 S Maryland Pkwy
City	Las Vegas
State	NV
ZIP	89119
Taxonomy	Specialist
NPI Enumerated	May 31, 2012

Payer Source	Total Paid
Medicaid	$2.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

15 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…	11,370	$70	$761.5K
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…	5,550	$100	$549.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	8,250	$60	$495.1K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	2,200	$150	$334.4K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	2,630	$100	$271K
91065	A hydrogen or methane breath test is a diagnostic procedure to find problems related to gastric functionality such as lactose deficiency, fructose intolerance, bacterial overgrowth, and oro–cecal…	3,290	$60	$180.7K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	2,450	$50	$117.5K
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…	1,180	$50	$60.1K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	150	$210	$31.5K
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…	400	$70	$26.1K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Noel R. Fajardo Md PC — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	4	40	130	$200	$139.6K
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…	92	2,250	290	$60	$138K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	7	80	160	$140	$122.2K
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…	648	2,480	330	$50	$107.6K
91065	A hydrogen or methane breath test is a diagnostic procedure to find problems related to gastric functionality such as lactose deficiency, fructose intolerance, bacterial overgrowth, and oro–cecal…	1	10	1,810	$60	$100.7K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	13	20	180	$190	$96.5K
83013	The lab analyst tests multiple breath samples for the presence of an isotope that indicates the presence of the H. pylori bacteria. This organism can cause irritation and ulcers of the stomach lining.	3	10	250	$20	$71.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	9	90	200	$20	$71.6K
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…	6	780	90	$100	$46.6K
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…	195	860	100	$70	$42.9K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Noel Fajardo	NV	Gastroenterology Physician	$238K	$105.2K
Andrew Kim	NV	Gastroenterology Physician	$191.1K	$19.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quest Diagnostics Incorporated	NV	Clinical Medical Laboratory	$18.2M	$59.3M
Jed Adam Enterprises, LLC	NV	Home Health Agency	$0	$61.5M
Solace Pediatric Healthcare Nursing Services, Nv, LLC	NV	Home Health Agency	$0	$36.1M
Desert Springs Hospital	NV	General Acute Care Hospital	$0	$22.3M
Founders Healthcare, LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$18.9M
A Better Way Home Care, LLC	NV	In Home Supportive Care Agency	$0	$14.7M
Absolute Personal Care,llc	NV	In Home Supportive Care Agency	$0	$11.3M
Accessible Space Inc.	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.7M
Healthcare Partners Medical Group Coats Ltd.	NV	Family Medicine Physician	$0	$9.1M
Quality Health Partners Inc	NV	Health Service Clinic/Center	$0	$6.9M

Noel R. Fajardo Md PC — Billing Profile & Reimbursement Data

Sign up for Noel R. Fajardo Md PC — Billing Profile & Reimbursement Data policy alerts

Noel R. Fajardo Md PC — Billing Profile & Reimbursement Data

Sign up for Noel R. Fajardo Md PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References