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

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

Francis Ponce (NPI 1912963323)

Field	Value
Entity Type	Individual
Organization	Francis Ponce
Address	160 Avenue At The Cmn Ste 1
City	Shrewsbury
State	NJ
ZIP	07702
Taxonomy	Neurology Physician
NPI Enumerated	April 25, 2006

Payer Source	Total Paid
Medicare	$102.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

11 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…	430	$80	$34.7K
J0585	Injection, onabotulinumtoxina, 1 unit	6,100	$10	$30.5K
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…	80	$130	$10K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	70	$110	$7.3K
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…	70	$90	$6K
64615	The provider bilaterally administers a chemical compound to the muscles innervated by the trigeminal, facial, cervical spinal, and accessory nerves. The goal of this procedure is to paralyze the…	50	$120	$5.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$3.1K
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…	40	$60	$2.3K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	60	$30	$1.5K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	60	$20	$1.4K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Francis Ponce — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	56	110	6,100	$1	$45.6K
99214	2,507	13,640	130	$90	$23.6K
99232	4,602	6,220	120	$70	$18.4K
99213	10,752	14,090	100	$70	$13.1K
99222	1,134	4,370	40	$110	$6.7K
64615	20	50	50	$120	$6.6K
96139	16	30	70	$30	$6.6K
99204	1,382	7,160	40	$130	$6.5K
99203	1,544	5,660	40	$80	$4.8K
96138	21	60	40	$30	$1.9K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Zagha	NJ	Cardiovascular Disease Physician	$776.4K	$0
Shrewsbury Surgery Center, LLC	NJ	Ambulatory Surgical Clinic/Center	$678.9K	$0
Shahid Farooqui	NJ	Internal Medicine Physician	$642.3K	$0
Nafisa Bhoori	NJ	Internal Medicine Physician	$395.4K	$0
Lizett Marza	NJ	Internal Medicine Physician	$387.2K	$0
Samuel Aly	NJ	Urology Physician	$327.4K	$0
Arthur Christiano	NJ	Urology Physician	$265.9K	$0
Darsit Shah	NJ	Otology & Neurotology Physician	$258.4K	$0
Stanley Lu	NJ	Diagnostic Radiology Physician	$244.4K	$0
Sean Li	NJ	Pain Medicine (Anesthesiology) Physician	$209.9K	$0

Francis Ponce — Billing Profile & Reimbursement Data

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Francis Ponce — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References