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    OpenPayerNPI Medicare & MedicaidSylvester Ramirez
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    Sylvester Ramirez — Billing Profile & Reimbursement Data

    NPI 1972599942 · Kerrville, TX · Otolaryngology Physician

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    Sylvester Ramirez is a otolaryngology physician provider located in Kerrville, Texas. This profile covers 20 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
    OrganizationSylvester Ramirez
    Address1001 Water St
    CityKerrville
    StateTX
    ZIP78028
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 23, 2005

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

    Payer SourceTotal Paid
    Medicare$153.5K
    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.

    20 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…400$90$34.6K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…60$340$20.2K
    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…310$60$19.2K
    0394TN/A70$170$12.2K
    99203The provider sees a new 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 provider…170$70$11.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.80$140$11.5K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.40$200$7.5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.60$90$5.9K
    11644The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.30$170$4.9K
    11643The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.30$120$4.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0394T1010360$180$84.9K
    772809419040$200$41.5K
    131329620050$220$19.7K
    992145,02532,500110$80$17.6K
    1312117921030$230$12.1K
    3123112945050$130$10.2K
    992133,52129,79070$60$8.4K
    992049,51416,38030$110$5.6K
    13131425020$180$5K
    17250819060$40$4.7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew LambiaseTXDermatology Physician$471.8K$0
    Brian BurnsTXSurgery of the Hand (Plastic Surgery) Physician$324.8K$0
    Sara HughesTXPhysician Assistant$170.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hill Country Community Mhmr CenterTXCommunity/Behavioral Health Agency$0$18.8M
    Pathways Youth & Family Services, Inc.TXCounselor$0$13.5M
    City Of KerrvilleTXLand Ambulance$1.1M$551K
    Rebecca BarringtonTXMedical Oncology Physician$1.2M$0
    Kerrville Ambulatory Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Valerian ChyleTXRadiation Oncology Physician$915.7K$0
    Anil SinghTXHematology & Oncology Physician$818.8K$0
    Air Evac Ems IncTXAir Ambulance$774.8K$0
    Michael BarkerTXDiagnostic Radiology Physician$636.9K$0
    Russell CraveyTXOphthalmology Physician$582.4K$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. Texas Distribution
    Sylvester Ramirez — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas