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.

Salud Integral En La Montana, Inc. (NPI 1003340001)

Field	Value
Entity Type	Organization
Organization	Salud Integral En La Montana, Inc.
Address	Ave Luis Munoz Marin Carr 155
City	Orocovis
State	PR
ZIP	00720
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	April 17, 2017

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	35,720	$80	$3M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	760	$90	$71.3K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	180	$0	$0

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

Salud Integral En La Montana, Inc. — 1 of 2 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	4	80	1,370	$40	$272.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	20	60	240	$100	$147.6K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	29	60	170	$10	$5.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Salud Integral En La Montana, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salud Integral En La Montana, Inc	PR	Clinical Medical Laboratory	$1.9K	$3.6M
Salud Integral En La Montana, Inc	PR	Emergency Care Clinic/Center	$0	$2.8M
Salud Integral En La Montana, Inc	PR	Clinical Medical Laboratory	$100	$2.1M
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Salud Integral En La Montana, Inc	PR	Clinical Medical Laboratory	$200	$1.3M
Salud Integral En La Montana, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$1.3M
Salud Integral En La Montana, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$989.6K
Salud Integral En La Montana, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$927.7K
Julio Baez Suarez	PR	Cardiovascular Disease Physician	$0	$744.8K
Salud Integral En La Montana, Inc	PR	Clinic/Center	$0	$620.5K

Nearby Providers

Other providers in the same ZIP code as Salud Integral En La Montana, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Myriam Martinez	PR	Optometrist	$0	$931.3K
Laboratorio Clinico Mercado Inc	PR	Clinical Medical Laboratory	$90	$626.4K
Central Medical Transport LLC	PR	Land Ambulance	$11.4K	$613.2K

Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data

Sign up for Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data policy alerts

Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data

Sign up for Salud Integral En La Montana, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References