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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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.

Elsa Justiniano (NPI 1003071754)

Field	Value
Entity Type	Individual
Organization	Elsa Justiniano
Address	3r40 Ave Laurel
City	Bayamon
State	PR
ZIP	00956
Taxonomy	Dentist
NPI Enumerated	July 22, 2008

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,970	$30	$188.1K
D1999	N/A	11,500	$20	$172.4K
D2150	Amalgam - two surfaces, primary or permanent	2,890	$40	$121.3K
D0120	Periodic oral evaluation - established patient	6,770	$10	$94.8K
D0272	N/A	5,510	$10	$77.2K
D0150	Comprehensive oral evaluation – new or established patient	3,380	$20	$71.1K
D0330	N/A	2,090	$30	$62.7K
D1208	Topical application of fluoride - excluding varnish	4,380	$10	$61.3K
D1120	Prophylaxis–child	2,950	$20	$53.1K
D2160	Amalgam - three surfaces, primary or permanent	1,020	$50	$50.1K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.

Claims Volume vs. Puerto Rico Distribution

Elsa Justiniano — 9 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. Puerto Rico median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	38	100	150	$80	$83K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	41	990	1,060	$30	$53.1K
D1999	N/A	18	950	1,350	$10	$35.1K
D2391	Resin‑based composite – one surface, posterior	47	60	90	$40	$25.7K
D0330	N/A	69	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	37	940	880	$10	$24.2K
D0272	N/A	44	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	13	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	204	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	36	910	540	$20	$18.1K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lab Clinico Van Scoy	PR	Clinical Medical Laboratory	$29.6K	$2M
Laboratorio Clinico Principal Inc	PR	Clinical Medical Laboratory	$11.5K	$1.6M
United Emergency Medical Corporation	PR	Ambulance	$70.7K	$1.4M
Multiple Medical Preventive Group LLC.	PR	General Practice Physician	$0	$1.1M
Dr.hiramvegaayoroa,psc	PR	Pediatric Dentistry	$0	$835.5K
Quality Gastroenterology LLC	PR	Gastroenterology Physician	$0	$757.9K
Neysha Muniz	PR	Speech-Language Pathologist	$0	$708.3K
Lemuel Martinez-bonilla	PR	Infectious Disease Physician	$9.9K	$689.8K
Ricardo Diaz Irizarry	PR	Personal Emergency Response Attendant	$0	$686.9K
Departamento De Salud	PR	General Acute Care Hospital	$0	$642.4K

Elsa Justiniano — Billing Profile & Reimbursement Data

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Elsa Justiniano — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References