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.

Dennis Santo (NPI 1952412512)

Field	Value
Entity Type	Individual
Organization	Dennis Santo
Address	6004 S Broadway Ave Ste 200
City	Tyler
State	TX
ZIP	75703
Taxonomy	Neurology Chiropractor
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicare	$45.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	2,020	$20	$38.4K
98941	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.	260	$30	$6.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Dennis Santo — 1 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98941	764	1,270	330	$30	$12.8K
98940	2	390	140	$20	$4.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Epic Health Services, Inc.	TX	Home Health Agency	$0	$34.3M
Advanta Genetics LLC	TX	Clinical Medical Laboratory	$1.7M	$5.2M
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Mark Mazzare	TX	Internal Medicine Physician	$3.5M	$0
Jennifer Holman	TX	Dermatology Physician	$1.1M	$0
Bradley Graham	TX	Dermatology Physician	$1M	$0
William Grabski	TX	Dermatology Physician	$971.2K	$0
Shanna Meads	TX	Dermatology Physician	$659.9K	$0
Oliver Street Dermatology Asc LLC	TX	Ambulatory Surgical Clinic/Center	$589.1K	$0

Dennis Santo — Billing Profile & Reimbursement Data

Sign up for Dennis Santo — Billing Profile & Reimbursement Data policy alerts

Dennis Santo — Billing Profile & Reimbursement Data

Sign up for Dennis Santo — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References