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

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

Rafael Franjul Diaz (NPI 1972866291)

Field	Value
Entity Type	Individual
Organization	Rafael Franjul Diaz
Address	4145 Sun N Lake Blvd Ste A
City	Sebring
State	FL
ZIP	33872
Taxonomy	Nephrology Physician
NPI Enumerated	June 21, 2012

Payer Source	Total Paid
Medicare	$127.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The 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…	1,090	$90	$102.2K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	240	$70	$16.1K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	50	$170	$7.8K
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…	30	$70	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Rafael Franjul Diaz — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	252	9,970	100	$90	$20.1K
99291	2,579	4,770	50	$170	$15.7K
99213	24,604	30,010	80	$60	$12K
99221	7	1,690	20	$60	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adventist Health System-sunbelt Inc	FL	Critical Access Hospital	$0	$11.1M
Adventist Health System-sunbelt Inc	FL	Critical Access Hospital	$0	$7.5M
Vedashree Panthulu	FL	Rheumatology Physician	$2.4M	$35.6K
Smriti Banthia	FL	Clinical Cardiac Electrophysiology Physician	$294.1K	$0
Mathew Joseph	IL	Dermatology Physician	$279.5K	$0
Prashanta Laddu	FL	Cardiovascular Disease Physician	$277.7K	$0
Rakesh Sharma	FL	Interventional Cardiology Physician	$215.1K	$0
Mitul Kanzaria	WA	Interventional Cardiology Physician	$210.4K	$0
Alexandra Joseph	FL	Cardiovascular Disease Physician	$207.7K	$0
Zahid Choudary	FL	Neurology Physician	$171.3K	$0

Nearby Providers

Other providers in the same ZIP code as Rafael Franjul Diaz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tampa Bay Emergency Physicians-heartland LLC	FL	Emergency Medicine Physician	$0	$14.8M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.3M
Audwin Nelson	FL	Internal Medicine Physician	$281.8K	$0
Eric Palosky	FL	Family Medicine Physician	$251K	$0
Witford Reid	FL	Specialist	$224.5K	$0
Thomas Shimshak	FL	Interventional Cardiology Physician	$164.3K	$0
Phillip Jones	FL	Interventional Cardiology Physician	$149.2K	$0
Sylvester Onyishi	FL	Urology Physician	$82.5K	$0
Michael Watson	FL	Orthopaedic Surgery Physician	$77.7K	$0
Myron St. Louis	FL	Vascular Surgery Physician	$73.1K	$0

Rafael Franjul Diaz — Billing Profile & Reimbursement Data

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Rafael Franjul Diaz — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References