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

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

Benjamin Martinez-andujo (NPI 1952321150)

Field	Value
Entity Type	Individual
Organization	Benjamin Martinez-andujo
Address	190 S. Main St.
City	Keenesburg
State	CO
ZIP	80643
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 20, 2006

Payer Source	Total Paid
Medicare	$40.7K
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…	330	$80	$24.8K
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…	250	$50	$12.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	200	$10	$1.6K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	90	$10	$750
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…	10	$10	$140
94640	The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…	20	$10	$100
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	30	$1	$80
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	$1	$20
J0696	Injection, ceftriaxone sodium, per 250 mg	100	$0	$0
J1100	Injection, dexamethasone sodium phosphate, 1 mg	320	$0	$0

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. Colorado Distribution

Benjamin Martinez-andujo — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	895	8,160	80	$80	$11.3K
99213	772	7,200	70	$60	$6.6K
36415	225	1,040	70	$10	$2.8K
93000	699	910	20	$10	$890
96372	108	500	40	$10	$810
J0696	35	60	130	$1	$310
81002	235	490	30	$1	$170
94640	9	40	20	$10	$110
J3420	47	60	60	$1	$90
J1100	114	220	380	$1	$80

Showing 1–10 of 11

Benjamin Martinez-andujo — Billing Profile & Reimbursement Data

Sign up for Benjamin Martinez-andujo — Billing Profile & Reimbursement Data policy alerts

Benjamin Martinez-andujo — Billing Profile & Reimbursement Data

Sign up for Benjamin Martinez-andujo — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References