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.

Southern Hospital Services (NPI 1043339054)

Field	Value
Entity Type	Organization
Organization	Southern Hospital Services
Address	40 Calle Munoz Rivera
City	Villalba
State	PR
ZIP	00766
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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.	28,990	$50	$1.4M
S9083	Global fee urgent care centers	3,250	$50	$168.8K
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.	940	$30	$28.3K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	70	$30	$2.4K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	70	$10	$570
J0290	Injection, ampicillin sodium, 500 mg	430	$1	$430
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	70	$1	$280
J1885	Injection, ketorolac tromethamine, per 15 mg	50	$1	$50
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	590	$0	$0
J0690	Injection, cefazolin sodium, 500 mg	360	$0	$0

Showing 1–10 of 13

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

Southern Hospital Services — 1 of 8 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

13 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.	7	80	1,370	$40	$272.9K
S9083	Global fee urgent care centers	18	50	1,520	$40	$206K
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.	19	60	240	$100	$147.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	572	650	1,260	$40	$93.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	101	340	210	$70	$81.7K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	777	850	3,250	$10	$40.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	256	320	510	$10	$19.5K
J2405	Injection, ondansetron hydrochloride, per 1 mg	38	40	410	$1	$5.2K
S0028	Injection, famotidine, 20 mg	10	10	90	$1	$4.6K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	23	30	260	$1	$3.5K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Hospital Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$2.4M
Southern Hospital Service Inc	PR	Clinical Medical Laboratory	$0	$1M
Southern Hospital Services	PR	Clinical Medical Laboratory	$0	$976.5K
Jose Fumero	PR	Neuroradiology Physician	$3.6K	$0

Nearby Providers

Other providers in the same ZIP code as Southern Hospital Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Sagrada Familia Corp.	PR	Clinical Medical Laboratory	$4.6K	$3M
Cdva Corp	PR	Health Maintenance Organization	$1.5K	$1.5M
Laboratorio Clinico Tierra Santa Inc	PR	Clinical Medical Laboratory	$2K	$1M
Southern Hospital Service Inc	PR	Multi-Specialty Clinic/Center	$0	$753.1K
Laboratorio Clinico Alfeciza Inc.	PR	Clinical Medical Laboratory	$0	$446K
Empresas Bonilla Colon Inc	PR	Community/Retail Pharmacy	$83.3K	$190.3K

Southern Hospital Services — Billing Profile & Reimbursement Data

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Southern Hospital Services — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References