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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Taos Professional Services,llc (NPI 1891070777)

Taos Professional Services,llc is a surgery physician provider located in Taos, New Mexico. This profile covers 0 Medicare and 78 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	Taos Professional Services,llc
Address	1397 Weimer Rd
City	Taos
State	NM
ZIP	87571
Taxonomy	Surgery Physician
NPI Enumerated	October 11, 2011

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

78 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	13,920	$60	$765.7K
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…	5,100	$100	$484.4K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,810	$100	$177K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,080	$140	$152.7K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,440	$100	$136.5K
92558	In this procedure, the provider passes low intensity sounds through the ear and measures the reflected sound to analyze hearing deficiencies in newborn babies and small children who are not able to…	3,990	$30	$107.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	2,780	$40	$102.8K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	4,960	$20	$99.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	1,060	$90	$95K
99177	The provider uses instruments to conduct a vision screening exam to analyze both eyes to diagnose ocular or eye–related diseases. Both the screening and analysis take place on–site.	1,760	$40	$65.2K

Showing 1–10 of 78

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Taos Professional Services,llc — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

78 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q3014	Telehealth originating site facility fee	134	180	620	$160	$546.7K
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…	87	930	910	$80	$521.6K
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…	186	960	1,010	$90	$490K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	40	100	1,100	$110	$362K
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…	45	50	1,740	$60	$317.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	45	120	670	$110	$301.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	141	380	220	$160	$273.9K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	39	120	430	$110	$205.4K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	30	110	610	$40	$148.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	64	320	220	$110	$146.2K

Showing 1–10 of 78

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taos Health Systems, Inc., Holy Cross Hospital	NM	Critical Access Hospital	$0	$30.9M
William Breland	TX	Physical Therapist	$342.3K	$0
Branko Huisa	CA	Neurology Physician	$300.4K	$0
John Bowden	NM	Dermatology Physician	$198.7K	$0
Sean Marvil	NM	Orthopaedic Surgery Physician	$195.8K	$0
Walter Rohloff	VI	Nephrology Physician	$85.2K	$100.3K
Timothy Busch	NM	Physician Assistant	$175.4K	$0
Carl Gilmore	NM	Orthopaedic Surgery Physician	$171.3K	$0
Dan Guttmann	NM	Orthopaedic Surgery Physician	$168K	$0
Michael Kaufman	NM	Internal Medicine Physician	$158.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nonviolence Works, Inc.	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.3M
Gregory & Associates	NM	Case Management Agency	$0	$19.1M
Taos Picuris Health Center	NM	Clinic/Center	$0	$6.6M
Rio Grande Alcoholism Treatment Center Incorporated	NM	Substance Abuse Rehabilitation Facility	$0	$6.4M
Taos Pueblo Division Of Health And Community Services	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.5M
Taos Clinic For Children And Youth	NM	Pediatrics Physician	$0	$3.1M
Taos Urgent Care, Inc	NM	Urgent Care Clinic/Center	$0	$2.9M
El Centro Family Health	NM	Federally Qualified Health Center (FQHC)	$0	$2.3M
Human Resource Development Associates, Inc.	NM	Mental Health Counselor	$0	$2.2M
County Of Taos	NM	Land Ambulance	$308K	$1.9M

Taos Professional Services,llc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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