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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Erick Arguello (NPI 1902259500)

Field	Value
Entity Type	Individual
Organization	Erick Arguello
Address	Pasaje Oe4a Cesar Borja Cordero N79-147
City	Quito
State	XX (Unspecified Location)
ZIP	17012
Taxonomy	Clinical Psychologist
NPI Enumerated	July 19, 2016

Payer Source	Total Paid
Medicare	$14.4K
Medicaid	$0

Key Findings

The provider’s billed services are concentrated in long psychotherapy encounters: the top reported code is 90837 (psychotherapy, minimum 53 minutes), which aligns with the provider taxonomy of Clinical Psychologist and indicates an outpatient psychotherapy-focused practice model. The code entry shows 131 claims with a reported $110 avg paid/claim, consistent with face-to-face therapeutic sessions rather than procedure-based care.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 100.0% of this provider’s Medicare revenue, and the dataset shows 90837 alone accounts for $14.4K in Medicare revenue (100.0% of this provider's total Medicare revenue). This indicates nearly all Medicare billing is driven by a single service line (long psychotherapy visits).

This provider is effectively single-payer on file: lifetime Medicare revenue is $14.4K while Medicaid shows none — there is no Medicaid billing on file. The absence of Medicaid revenue combined with the concentrated Medicare activity implies a limited public-payer footprint in this dataset.

On national competitive standing for the primary code, the provider ranks #10041 of 15257 for 90837 (34th percentile), which the data labels as "typical, unremarkable volume for this code." That rank places the provider as a modest participant nationally for long psychotherapy sessions rather than a dominant or high-volume specialist.

Tenure in the registry is established: the NPI was enumerated on 2016-07-19 (~10 years ago). Given roughly a decade of enrollment but a lifetime Medicare revenue of $14.4K, the Medicare-facing portion of the practice appears low-volume over that tenure.

The claim-level metrics (131 claims, $110 avg paid/claim) and the $14.4K Medicare total suggest moderate absolute engagement with Medicare beneficiaries; combined with no Medicaid billing on file, this pattern is consistent with either a practice that primarily serves non-public-payer patients or a clinician with limited Medicare panel participation. The available data do not identify other payers, so conclusions about total practice scale beyond Medicare are speculative.

From a statistical standpoint, the primary code 90837 is labeled as "typical, unremarkable volume for this code" in the national comparison, so there are no flagged outlier behaviors in the supplied Medicare code-level metrics. Reviewers seeking atypical coding patterns would find no extreme or notably above-typical signals in the provided Medicare summary.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	130	$110	$14.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Erick Arguello — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	2	10	290	$80	$24.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Payal Sud	IL	Clinical Social Worker	$66.6K	$3.2M
Raymond Bryant	IL	Psychiatric/Mental Health Nurse Practitioner	$104.1K	$3.1M
Kristin Elatkin	IL	Family Nurse Practitioner	$1.6M	$5K
Larry Wilkes	IL	Psychiatric/Mental Health Nurse Practitioner	$813.3K	$93.6K
Dorina Suslovas	IL	Nurse Practitioner	$292.7K	$100.8K
Shannon Bartolucci	IL	Gerontology Nurse Practitioner	$189.1K	$104.7K
Latoya Robinson	IL	Psychiatric/Mental Health Nurse Practitioner	$112.6K	$91.4K
Seong Cho-ju	AP (Armed Forces Pacific)	Clinical Social Worker	$0	$195K
Margeret Kiggundu	IL	Family Nurse Practitioner	$123.4K	$46.1K
Lauren Rosenfeldt	IL	Clinical Social Worker	$64.8K	$100.5K

Erick Arguello — Billing Profile & Reimbursement Data

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Erick Arguello — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References