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.

Raul Valenzuela Perez (NPI 1952785685)

Raul Valenzuela Perez is a diagnostic radiology physician provider located in Houston, Texas. This profile covers 12 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Raul Valenzuela Perez
Address	1515 Holcombe Blvd
City	Houston
State	TX
ZIP	77030
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 13, 2015

Payer Source	Total Paid
Medicare	$36.7K
Medicaid	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
73720	In this diagnostic procedure, the provider performs magnetic resonance imaging imaging of a patient’s lower extremity for other than a joint without contrast material initially, and then after…	90	$80	$6.6K
72197	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.	70	$80	$5.5K
77084	In this procedure, the provider uses magnetic resonance imaging to study and evaluate the bone marrow blood supply.	100	$50	$5.4K
72158	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.	60	$80	$4.8K
72156	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the cervical spinal canal and contents first without using contrast and again after injecting contrast material.	50	$90	$4.2K
72157	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the thoracic spinal canal and contents first without using contrast and again after injecting contrast material.	50	$80	$4K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	330	$10	$2.3K
73220	In this diagnostic procedure the provider performs a magnetic resonance imaging of the patient’s upper extremity for a location other than the joint of the extremity. He performs the procedure first…	20	$80	$1.6K
73223	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of the upper extremity, which can be the shoulder, elbow, wrist, or joints of…	10	$80	$1.1K
71552	In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI, study of the chest without using contrast material. He then follows with contrast material and takes more…	10	$90	$1K

Showing 1–10 of 12

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
72197	76	320	30	$140	$9K
72158	34	380	30	$130	$4.1K
71045	992	1,870	370	$10	$3.8K
77084	2	10	40	$60	$2.9K
72156	19	230	20	$110	$2.9K
72157	14	190	20	$110	$2.8K
73223	9	20	10	$160	$2.4K
73720	1	90	20	$110	$2.4K
73220	3	10	20	$140	$2.4K
71046	3,204	3,400	40	$10	$1.5K

Raul Valenzuela Perez — Billing Profile & Reimbursement Data

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Raul Valenzuela Perez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References