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.

Saul Estrada-vazquez (NPI 1982909271)

Field	Value
Entity Type	Individual
Organization	Saul Estrada-vazquez
Address	2000 Fowler Grove Blvd
City	Winter Garden
State	FL
ZIP	34787
Taxonomy	Hospitalist Physician
NPI Enumerated	January 18, 2011

Payer Source	Total Paid
Medicare	$98.4K
Medicaid	$0

Key Findings

SAUL ESTRADA-VAZQUEZ reports total Medicare revenue of $98.4K and has no Medicaid billing on file, making this effectively a single‑payer (Medicare) billing profile rather than a dual‑payer practice. The top three Medicare codes account for 100.0% of the provider's Medicare revenue, indicating revenue is highly concentrated within a narrow set of inpatient E/M services.

The code mix (99233, 99223, 99239) identifies a hospitalist-style inpatient practice: 99223 denotes initial hospital inpatient evaluation with high MDM or prolonged time, 99233 denotes subsequent high-MDM or time-intensive inpatient visits, and 99239 covers extended discharge day management. This combination suggests the provider’s work is focused on admission, intensive follow-up rounding, and discharge management in the hospital setting.

Revenue concentration is extreme: 99233 alone generates $63.9K (65.1% of Medicare revenue), while 99223 contributes $17.4K (17.7%) and 99239 contributes $16.9K (17.2%). Because the top three codes collectively make up 100.0% of Medicare revenue, diversification across other CPT/HCPCS codes is minimal to nonexistent in the Medicare record.

Procedure-level volume and unit payments show the operational emphasis: 99233 had 680 claims with an average paid per claim of $94, 99223 had 128 claims at $136 avg paid/claim, and 99239 had 190 claims at $89 avg paid/claim. These counts and average payments reflect that the bulk of billings are frequent, lower‑unit‑value subsequent inpatient encounters (99233) supplemented by fewer higher‑paid initial evaluation and discharge services.

Competitive standing by code is mixed: 99233 ranks #4470 of 128818 providers nationally (97th percentile; notably above typical national volume for this code), indicating an unusually high national activity for subsequent inpatient care. In contrast, 99223 ranks #18456 of 139583 (87th percentile; typical, unremarkable volume) and 99239 ranks #5131 of 62398 (92th percentile; typical, unremarkable volume), so the provider is particularly concentrated and comparatively elevated only on the subsequent inpatient visit metric.

The provider’s Medicare footprint is small in absolute dollar terms ($98.4K) despite high relative activity on a single code; this suggests a narrow operational scale focused on repeated inpatient follow-ups rather than a broad, high‑revenue outpatient or procedural mix. Analysts should interpret the combination of modest total Medicare revenue and high percentile rank on 99233 as a high-frequency, low‑per‑claim business model within inpatient care.

Tenure data show the NPI was enumerated on 2011-01-18 (~15 years ago), indicating an established billing history rather than a recent entrant. This longevity, coupled with concentrated inpatient coding, supports an interpretation of an ongoing hospitalist or inpatient-focused practice rather than intermittent or new billing activity.

The absence of any Medicaid billing on file highlights a payer‑mix risk and limits visibility into state‑level Medicaid participation or volume. For network planning or workforce alignment, this provider should be treated as effectively Medicare-only in available claims data, and any assessment of coverage for Medicaid populations will require additional sources beyond the claims on file.

Medicare: Complete Services Breakdown

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

3 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…	680	$90	$63.9K
99223	The 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…	130	$140	$17.4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	190	$90	$16.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Saul Estrada-vazquez — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	2	9,970	100	$90	$20.1K
99223	9	11,110	60	$130	$12.5K
99239	2	4,170	80	$90	$9.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Saul Estrada-vazquez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andres Vallejo Agudelo	FL	Internal Medicine Physician	$501.8K	$0
Amit Rama	MI	Internal Medicine Physician	$140.2K	$0
Jason Luttrell	FL	Foot & Ankle Surgery Podiatrist	$102.2K	$0
Preethi Gondi Kamma Venkatesh	FL	Internal Medicine Physician	$67.5K	$0
Steven Turpin	FL	Hospitalist Physician	$67.3K	$0
Ismael Acevedo	FL	Hospitalist Physician	$63.6K	$0
Belmar Irizarry Garces	PR	Internal Medicine Physician	$60.4K	$0
Gretchen Martinez Alayon	PR	Internal Medicine Physician	$59.5K	$0
Olga Seoanes	FL	Family Nurse Practitioner	$52K	$0
Sharlyn Pamatian	FL	Family Nurse Practitioner	$33.9K	$0

Nearby Providers

Other providers in the same ZIP code as Saul Estrada-vazquez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Center, Inc.	FL	Federally Qualified Health Center (FQHC)	$0	$15.7M
Banji Awosika	FL	Specialist	$515K	$0
John Cappleman	FL	Geriatric Medicine (Internal Medicine) Physician	$404.9K	$0
Muhammad Malik	FL	Nephrology Physician	$397.9K	$0
Steven Vold	FL	Glaucoma Specialist (Ophthalmology) Physician	$287.4K	$0
Shiva Prasad Shashidharan	FL	Cardiovascular Disease Physician	$126.5K	$87K
Andrew Pepper	FL	Orthopaedic Surgery Physician	$181.2K	$0
Pedro Garcia	FL	Internal Medicine Physician	$83.3K	$0
Basher Atiquzzaman	FL	Gastroenterology Physician	$56.2K	$0
Nikhil Agrawal	FL	Cardiovascular Disease Physician	$54.2K	$430

Saul Estrada-vazquez — Billing Profile & Reimbursement Data

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Saul Estrada-vazquez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References