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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIvelisse Sambolin Jessurun
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    Ivelisse Sambolin Jessurun — Billing Profile & Reimbursement Data

    NPI 1023202819 · Rio Piedras, PR · Physical Medicine & Rehabilitation Physician

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    Ivelisse Sambolin Jessurun is a physical medicine & rehabilitation physician provider located in Rio Piedras, Puerto Rico. This profile covers 5 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIvelisse Sambolin Jessurun
    AddressCond Vick Center C101
    CityRio Piedras
    StatePR
    ZIP00925
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedSeptember 5, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$19.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…140$60$8.5K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$100$4.3K
    99214The 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…40$100$3.6K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$60$1.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…20$60$1.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992326122080$60$7.9K
    9921429047050$80$6.6K
    992131,3111,53050$60$4.2K
    992221215020$100$2.4K
    99238197020$60$1.8K

    Nearby Providers

    Other providers in the same ZIP code as Ivelisse Sambolin Jessurun, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Special Care Pharmacy Services, LLCPRPharmacy$0$12.9M
    Laboratorio Clinico Rio Piedras IPRClinical Medical Laboratory$0$702.3K
    Laboratorio Clinico BorgesPRClinical Medical Laboratory$0$679.7K
    Carmen AmaralPROphthalmology Physician$990$673.3K
    Walgreen CoPRPharmacy$78.2K$0
    Maria ZweigPRSpecialist$26.8K$0
    Brenda Orta RodriguezPRGeriatric Physical Therapist$21.6K$0
    Gloriva PinaPRCounseling Psychologist$0$19.6K
    Ricardo Gago PineroPRRheumatology Physician$13.6K$0
    Roberto BuxedaPROphthalmology Physician$5.6K$5.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Ivelisse Sambolin Jessurun — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico