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

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

Jose Sanchez (NPI 1922535590)

Field	Value
Entity Type	Individual
Organization	Jose Sanchez
Address	1 University Of New Mexico
City	Albuquerque
State	NM
ZIP	87131
Taxonomy	Student in an Organized Health Care Education/Training Program
NPI Enumerated	May 15, 2017

Payer Source	Total Paid
Medicare	$66.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	180	$160	$29.5K
99233	The 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…	280	$90	$25.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	60	$90	$5.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$140	$4.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.2K
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…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Jose Sanchez — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	48	520	60	$90	$10.4K
99291	10	340	40	$160	$9.5K
99232	757	830	60	$60	$7.3K
99223	244	490	30	$130	$7.3K
99239	132	320	50	$90	$5.5K
99238	100	190	20	$60	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
San Juan Regional Medical Center, Inc.	NM	General Acute Care Hospital	$0	$141.5M
San Juan Regional Medical Center Inc	NM	Emergency Medicine Physician	$0	$23.8M
San Juan Regional Medical Center Inc	NM	Pediatrics Physician	$0	$15.7M
San Juan Regional Medical Center Inc	NM	Family Medicine Physician	$0	$7.9M
Orthopedic Associates PA	NM	Orthopaedic Surgery Physician	$0	$4.4M
San Juan Regional Medical Center Inc	NM	Hospitalist Physician	$0	$3.6M
San Juan Regional Medical Center Inc	NM	Neurology Physician	$0	$2.5M
San Juan Regional Medical Center Inc	NM	Internal Medicine Physician	$0	$1.5M
Clayton Labaume	CO	Surgical Physician Assistant	$1.4M	$0
San Juan Regional Medical Center Inc	NM	Psychiatry Physician	$0	$1.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carl Gilmore	NM	Orthopaedic Surgery Physician	$171.3K	$0
Andrew Bruner	NM	Diagnostic Radiology Physician	$128.8K	$920
Edo Avochinou	NM	Internal Medicine Physician	$125.6K	$0
William Schaeffer	NM	Vascular & Interventional Radiology Physician	$125.3K	$0
Kurt Pedrotty	NM	Diagnostic Radiology Physician	$118.7K	$0
Wallace Gladden	NM	Physical Medicine & Rehabilitation Physician	$113.5K	$0
David Martin	NM	Anatomic Pathology & Clinical Pathology Physician	$109K	$0
Reuel Measom	NM	Interventional Pain Medicine Physician	$106.2K	$0
Jennifer Pohl	NM	Diagnostic Radiology Physician	$105.6K	$0
Eddie Brown	NM	Cardiovascular Disease Physician	$104.2K	$0

Jose Sanchez — Billing Profile & Reimbursement Data

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Jose Sanchez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References