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NPI 1023096112 · San Juan, PR · Specialist
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Jose Martinez Toro is a specialist provider located in San Juan, Puerto Rico. This profile covers 6 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jose Martinez Toro |
| Address | 576 Calle Tnte Cesar Gonzalez |
| City | San Juan |
| State | PR |
| ZIP | 00918 |
| Taxonomy | Specialist |
| NPI Enumerated | January 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $412.3K |
| Medicare | $37.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 420 | $60 | $23.2K |
| 92928 | The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a… | 20 | $410 | $6.1K |
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 20 | $210 | $3.9K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 30 | $100 | $3.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 20 | $80 | $1.1K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 10 | $10 | $120 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 630 | $490 | $311.2K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 2,610 | $40 | $99.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 120 | $10 | $1.3K |
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93458 | In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He… | 10 | 40 | 80 | $680 | $318.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 120 | 900 | 360 | $30 | $42.5K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 270 | 410 | 390 | $20 | $21.7K |
Other providers in the same ZIP code as Jose Martinez Toro, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Laboratorio De Patologia Dr Noy | PR | Anatomic Pathology Physician | $0 | $45.7M |
| Hato Rey Pathology Associates Inc | PR | Clinical Medical Laboratory | $58.5K | $42M |
| Home Orthopedics Corp | PR | Prosthetic/Orthotic Supplier | $0 | $20.7M |
| Orthobone, Inc | PR | Customized Equipment (DME) | $0 | $15.5M |
| Smith & Nephew Inc. | PR | Prosthetic/Orthotic Supplier | $0 | $12M |
| Laboratorio Clinico Noy Inc | PR | Clinical Medical Laboratory | $76.1K | $9.9M |
| Servicios Radiologicos Asociados Jorge Perez Brais | PR | Diagnostic Radiology Physician | $0 | $2.9M |
| Luis Torres Vera | PR | Allergy Physician | $21.5K | $2.7M |
| Inspira Psychiatric Services Psc | PR | Adult Mental Health Clinic/Center | $0 | $2.5M |
| Frankie Alvarado | PR | Pulmonary Disease Physician | $7.3K | $2.4M |
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