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    OpenPayerNPI Medicare & MedicaidVictor Maquera
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    Victor Maquera — Billing Profile & Reimbursement Data

    NPI 1891786059 · Orange Park, FL · Neurology Physician

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    Victor Maquera is a neurology physician provider located in Orange Park, Florida. This profile covers 23 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVictor Maquera
    Address1895 Kingsley Ave
    CityOrange Park
    StateFL
    ZIP32073
    TaxonomyNeurology Physician
    NPI EnumeratedNovember 4, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$468.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95912In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…370$190$69.4K
    99214The 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…740$90$66.3K
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…810$70$59.6K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…590$90$55.1K
    95716The patient undergoes electroencephalography, a study of the electrical activity of the brain, with continuous, real–time monitoring and maintenance. A video recording is made, and an EEG…50$1,020$54.9K
    95709The patient undergoes an electroencephalography, a study of the electrical activity of the brain, lasting 12 to 26 hours with intermittent monitoring and maintenance. No video recording is made, and…60$640$38.6K
    95813An electroencephalogram is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. Extended monitoring refers to a study that runs longer…70$320$22.9K
    99205The provider sees a new 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 provider…130$160$20.4K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$460$13.4K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.30$480$12.3K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    95716510110$1,010$116.9K
    9570921060$580$40.2K
    992143,33232,760140$90$25K
    992338279,970100$90$20.1K
    9581115424040$330$18.5K
    9581015124040$310$17.9K
    95886641080$80$11.3K
    992154,4048,55040$130$10.7K
    9570083030$200$9.9K
    959134111030$220$8.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kai McgreevyFLNeurology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orange Park Medical Center, Inc.FLGeneral Acute Care Hospital$0$28.7M
    Meera OzaFLRheumatology Physician$3.5M$0
    Adam BagleyFLRheumatology Physician$2.9M$0
    George SchmiederFLDermatology Physician$2.3M$12.4K
    Russell PecoraroFLOphthalmology Physician$1.5M$0
    Eugene MccoskeyFLPulmonary Disease Physician$1.3M$0
    Express Medical Experts, LLCFLClinical Medical Laboratory$738.7K$493K
    Hossein RamezaniFLCardiovascular Disease Physician$1.2M$0
    Donald DownerFLOphthalmology Physician$578.3K$0
    David HayesFLOphthalmology Physician$435.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Victor Maquera — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida