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

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

Pedro Estevez (NPI 1912052747)

Field	Value
Entity Type	Individual
Organization	Pedro Estevez
Address	506 Malcolm X Blvd
City	New York
State	NY
ZIP	10037
Taxonomy	Occupational Therapist
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicare	$18.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97542	In this procedure, the provider assesses the patient’s need for a wheelchair and teaches him wheelchair maneuvering skills.	690	$20	$15.1K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	40	$90	$3.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Pedro Estevez — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97542	1	20	150	$20	$4.2K
97166	144	440	30	$90	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rachel Spiers	NY	Occupational Therapist	$7.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York City Health And Hospitals Corporation	NY	General Acute Care Hospital	$0	$107.9M
Cory Harris	NY	Urology Physician	$241.9K	$0
James Abanishe	NY	Psychiatry Physician	$112.2K	$69.2K
Sabrina Mahboob	NY	Diagnostic Radiology Physician	$122.1K	$3.4K
Trystan Davies	NY	Emergency Medicine Physician	$86.7K	$15.7K
Syed Ali Rizvi	NY	Vascular Surgery Physician	$20.6K	$21.5K
Edward Sta. Maria	NY	Anatomic Pathology & Clinical Pathology Physician	$36.6K	$0

Pedro Estevez — Billing Profile & Reimbursement Data

Sign up for Pedro Estevez — Billing Profile & Reimbursement Data policy alerts

Pedro Estevez — Billing Profile & Reimbursement Data

Sign up for Pedro Estevez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References