NEVVI Medicare utilization intelligence

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RUIZ, GILBERTM.D. NPI 1104825041 Clinician

Otolaryngology · SAN ANTONIO, TX

Specialty Otolaryngology — from billed Medicare claims
In practice about 47 years since medical school (class of 1979, self-reported to CMS)
Location SAN ANTONIO, TX · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 29 codes billed · 2,081 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2023-09

Year: 2024 · 2023 · 2022 locked column · 2021 locked column · 2020 locked column

Provider overview · all codes · CY2024

The full analytics for this provider

Premium

The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were premium in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services locked column Beneficiary-episodes locked column Avg charge locked column Avg Medicare payment locked column
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more premiumpremium premiumpremium
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more premiumpremium premiumpremium
69210 Removal of impacted ear wax premiumpremium premiumpremium
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more premiumpremium premiumpremium
95810 Sleep study in sleep lab (6 years or older) premiumpremium premiumpremium
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more premiumpremium premiumpremium
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) premiumpremium premiumpremium
31575 Diagnostic exam of voice box using a flexible endoscope premiumpremium premiumpremium
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg premiumpremium premiumpremium
92653 Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report premiumpremium premiumpremium
92584 Test to assess electrical potentials generated in the inner ear as a result of sound stimulation premiumpremium premiumpremium
92557 Comprehensive hearing and speech recognition test premiumpremium premiumpremium
95800 Sleep study including heart rate, breathing, and sleep time premiumpremium premiumpremium
92542 Test for abnormal eye movement using 3 positions with recording premiumpremium premiumpremium
31231 Diagnostic exam of nasal passages using an endoscope premiumpremium premiumpremium
31579 Exam to assess movement of vocal cord flaps using an endoscope premiumpremium premiumpremium
95992 Repositioning exercises of head for treatment of dizziness, each day premiumpremium premiumpremium
92540 Evaluation and testing for balance with recording premiumpremium premiumpremium
92537 Test to assess balance during warm and cool irrigation in both ears premiumpremium premiumpremium
92550 Test for eardrum and muscle function premiumpremium premiumpremium
92567 Test to assess middle ear function premiumpremium premiumpremium
76536 Ultrasound scan of head and neck soft tissue premiumpremium premiumpremium
92517 Vemp testing of lower branch of inner ear nerve with interpretation and report premiumpremium premiumpremium
30200 Injection of medication into nasal air passage premiumpremium premiumpremium
92504 Exam of ear using a microscope premiumpremium premiumpremium
70486 Ct scan of face without contrast premiumpremium premiumpremium
69420 Incision, aspiration, and/or inflation of eardrum premiumpremium premiumpremium
92552 Test for hearing various pitches using earphone premiumpremium premiumpremium
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report premiumpremium premiumpremium

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.