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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Ramirez-icaza
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    Carlos Ramirez-icaza — Billing Profile & Reimbursement Data

    NPI 1952494825 · Lexington, KY · Pulmonary Disease Physician

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    Carlos Ramirez-icaza is a pulmonary disease physician provider located in Lexington, Kentucky. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationCarlos Ramirez-icaza
    Address1225 S Broadway Ste 201
    CityLexington
    StateKY
    ZIP40504
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedOctober 2, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$97.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…470$90$40.7K
    99204The provider sees a new 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 provider…110$120$12.5K
    99233The 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…120$90$10.6K
    99232The 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…140$60$8.3K
    99223The 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…40$130$4.4K
    99213The 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…70$60$4.2K
    95806A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.110$30$3.6K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.80$40$3.4K
    94726The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…80$40$3.2K
    94010The provider or technician administers a spirometry test to assess the patient's respiratory function. The spirometer is attached to a computer that records the total and timed vital capacity…150$20$2.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992336781,80080$90$14.1K
    992146727,230110$70$14.1K
    992321,1502,860100$60$11.6K
    992231,0531,94040$130$8.6K
    992133,8597,25080$50$7.7K
    992042423,20030$100$4.8K
    992221,1802,07030$90$4.5K
    9580664040$30$1.9K
    947295517060$20$1.6K
    947264715050$20$1.5K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos Ramirez-icaza, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Lexington Clinic, PscKYMulti-Specialty Clinic/Center$0$8.2M
    New Lexington Clinic, PscKYClinical Medical Laboratory$1.8M$1.1M
    New Lexington Clinic, PscKYAmbulatory Surgical Clinic/Center$2.3M$12.2K
    New Lexington Clinic, PscKYAmbulatory Surgical Clinic/Center$1.6M$148.3K
    Shailendra ChopraKYBody Imaging Physician$876.7K$0
    John WestKYDiagnostic Radiology Physician$451.6K$0
    Sean MarzolfKYDermatology Physician$450.1K$0
    Timothy Averion-mahlochKYDiagnostic Radiology Physician$431.1K$0
    Elaine AlexanderKYRheumatology Physician$389.6K$0
    Robert LaveyKYRadiation Oncology Physician$384.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Carlos Ramirez-icaza — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky