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

Why is the Medicaid comparison limited to Texas 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. Texas (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.

Igor Cherches (NPI 1942295522)

Field	Value
Entity Type	Individual
Organization	Igor Cherches
Address	6655 Travis St Ste 600
City	Houston
State	TX
ZIP	77030
Taxonomy	Neurology Physician
NPI Enumerated	September 20, 2005

Payer Source	Total Paid
Medicare	$6.7M
Medicaid	$0

Key Findings

IGOR CHERCHES is a Neurology Physician enumerated since 2005-09-20 (~21 years ago) with total Medicare revenue of $6.7M and no Medicaid billing on file; the practice is effectively single-payer in the data set and appears to rely almost entirely on Medicare for recorded public-payer revenue.

Revenue is highly concentrated: the provider’s top three Medicare codes account for 94.3% of total Medicare revenue, led by J1569 ($5.8M, 85.6% of Medicare revenue), followed by J1561 ($488.3K, 7.2%) and 95886 ($96.2K, 1.4%). This concentration indicates the business is driven by a very small number of high-revenue services.

The code mix points to an infusion‑centric neurology practice combined with substantial electrodiagnostic services: J1569 and J1561 are immune globulin products (160.9K claims for J1569; 14K claims for J1561) and the practice also reports high volumes of infusion administration codes such as 96366 (3.3K claims) and initial infusion 96365 (1.1K claims), alongside electrodiagnostic testing like 95886 (1.2K claims). Coupled with frequent high‑complexity office visits (99215: 549 claims; 99205: 325 claims), the pattern is consistent with ongoing outpatient therapy management and diagnostic workups for complex neurologic conditions.

On competitive standing, the provider is a national outlier on several key codes: J1569 ranks #1 of 542 providers nationally (100th percentile; extreme outlier) and 95886 ranks #21 of 6525 providers nationally (100th percentile; extreme outlier), indicating dominant national volume for those specific services. By contrast, J1561 ranks #22 of 180 (88th percentile; typical), so while the practice dominates one immune globulin product, its use of alternative products is more typical.

Operationally, the combination of very high claim counts for a single drug code (J1569: 160.9K claims) plus thousands of infusion administration claims (e.g., 96366: 3.3K claims) implies a throughput-heavy infusion operation with repeated administrations to a stable patient cohort; the presence of numerous nerve conduction/EMG codes (95913, 95912, 95910) further suggests an integrated service line offering both therapy and diagnostic procedures. These volumes also align with the relatively large counts of high-complexity visits, supporting a model of longitudinal, high‑acuity outpatient care.

Payer mix and financial concentration create exposure: with $6.7M recorded from Medicare and no Medicaid billing on file, the provider has effectively no Medicaid revenue in the dataset and would be sensitive to changes in Medicare coverage or reimbursement for the few dominant codes. The extreme concentration into J1569 and related infusion services means any payer policy changes or prior‑authorization shifts for immune globulin could materially affect reported Medicare revenue.

Multiple codes are flagged as statistical outliers in national comparisons (labels shown in the data include "extreme outlier" and 100th‑percentile designations for codes such as J1569, 95886, 96366, and 99205), which signals unusually high utilization relative to peers for those services. Such outlier status is a neutral analytics flag indicating the provider is far above typical national volume on several items and could attract focused payer review or benchmarking attention given the concentration and scale.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	160,930	$40	$5.8M
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	13,950	$40	$488.3K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	1,200	$80	$96.2K
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…	550	$140	$74.1K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	1,150	$50	$57.4K
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…	330	$170	$56.5K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	250	$220	$55.5K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	3,280	$20	$52.5K
95912	In this procedure, the provider performs eleven or twelve nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory…	260	$190	$48.7K
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…	310	$100	$29.6K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Igor Cherches — 9 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1561	10	20	16,380	$40	$1.3M
J1569	1	20	4,530	$40	$435.1K
96413	767	810	150	$100	$19.7K
99214	7,040	32,500	110	$80	$17.6K
95913	5	130	30	$210	$11.2K
95886	2	450	70	$70	$9.7K
99215	91	8,730	40	$120	$9.2K
99213	25,009	29,790	70	$60	$8.4K
95937	8	10	30	$30	$7.3K
96365	9	890	90	$50	$7.2K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Privia Medical Group Gulf Coast, PLLC	TX	Obstetrics & Gynecology Physician	$0	$11.3M
Christopher Nguyen	TX	Interventional Cardiology Physician	$1.7M	$0
Walter Taylor	TX	Neurology Physician	$653.8K	$0
Ramin Ansari	TX	Neurology Physician	$626.3K	$0
Kimberly Miller-miles	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$480.9K	$0
Steven Lovitt	PA	Neurology Physician	$470.8K	$0
Mark Florian	TX	Internal Medicine Physician	$379.6K	$0
Mason Mileur	TX	Internal Medicine Physician	$350K	$0
Frederic Nguyen	TX	Neurology Physician	$317.2K	$0
Saurabh Shukla	TX	Neurology Physician	$313.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Texas Children's Hospital	TX	Children's Hospital	$0	$277.4M
Texas Children's Physician Group	TX	Pediatrics Physician	$0	$160.6M
Ut Physicians	TX	Anesthesiology Physician	$0	$94.4M
Texas Children's Urgent Care	TX	Pediatrics Physician	$0	$63.7M
Memorial Hermann Health System	TX	General Acute Care Hospital	$0	$39.5M
Harris County Hospital District	TX	General Acute Care Hospital	$0	$27.7M
Baylor College Of Medicine	TX	Family Medicine Physician	$0	$18.1M
David Brown	TX	Ophthalmology Physician	$5.7M	$0
Tien Wong	TX	Ophthalmology Physician	$4.5M	$0
Ankoor Shah	TX	Ophthalmology Physician	$3.7M	$0

Igor Cherches — 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

Nearby Providers

Frequently Asked Questions

References