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.

Alejandra Gonzalez-duarte (NPI 1922260348)

Field	Value
Entity Type	Individual
Organization	Alejandra Gonzalez-duarte
Address	203 E 27th St
City	New York
State	NY
ZIP	10016
Taxonomy	General Practice Physician
NPI Enumerated	June 26, 2008

Payer Source	Total Paid
Medicare	$26K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	40	$160	$6.4K
99443	N/A	60	$110	$6.3K
99205	The 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…	30	$180	$4.7K
95924	In this procedure, the provider jointly tests the parasympathetic and sympathetic functions of the autonomic nervous system to check the nature and severity of autonomic disorders. The autonomic…	20	$140	$3.3K
95923	In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…	20	$110	$2.6K
75893	In this procedure, the provider performs imaging supervision and interpretation of the withdrawal of venous blood through a catheter for laboratory evaluation. The service may also include vessel…	20	$100	$2K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	30	$10	$330
51798	Providers perform this ultrasound to measure the volume of residual urine in the bladder.	20	$10	$240

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New York Distribution

Alejandra Gonzalez-duarte — 0 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95923	134	180	40	$110	$12.1K
95924	29	50	40	$140	$10.7K
99215	3,900	8,280	40	$140	$10.1K
99205	2,011	4,260	30	$180	$6.4K
99443	326	1,200	30	$90	$5.7K
75893	2	10	20	$100	$2.3K
93000	4,854	6,620	60	$10	$2.2K
51798	591	680	100	$10	$2.2K

Alejandra Gonzalez-duarte — Billing Profile & Reimbursement Data

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Alejandra Gonzalez-duarte — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References