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    OpenPayerNPI Medicare & MedicaidOmar Mendez Melendez
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    Omar Mendez Melendez — Billing Profile & Reimbursement Data

    NPI 1043600182 · San Juan, PR · Internal Medicine Physician

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    Omar Mendez Melendez is a internal medicine physician provider located in San Juan, Puerto Rico. This profile covers 9 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
    OrganizationOmar Mendez Melendez
    AddressPuerto Rico Medical Center
    CitySan Juan
    StatePR
    ZIP00917
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 28, 2015

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

    Payer SourceTotal Paid
    Medicare$49.2K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…170$90$16.1K
    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…200$60$12.3K
    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…90$100$8.7K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$130$5.5K
    94375The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…80$30$2.3K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.40$40$1.8K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…40$40$1.3K
    94200The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…80$10$860
    94640The provider administers oxygen under pressure or not under pressure to open obstructed air passages. He uses any of the listed devices to treat a patient with an acute obstruction of the airway that…40$10$250

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992332817070$90$9.4K
    992323622080$60$7.9K
    9921411747050$80$6.6K
    992233320020$130$4.9K
    94375112080$30$2.8K
    94729144030$40$1.9K
    94727113030$30$1.6K
    9420061080$10$1.6K
    9464041030$10$310

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Omar Mendez Melendez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Municipality Of San JuanPRMulti-Specialty Clinic/Center$0$4.5M
    Omayra GonzalezPRHematology & Oncology Physician$2.9K$1.6M
    Laboratorio Clinico Dr. Gualberto RabellPRClinical Medical Laboratory$0$1.5M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    Luis FontPRPediatric Endocrinology Physician$0$836.4K
    Soobin MaengPRGeneral Practice Physician$0$738.9K
    Laboratorio Clinico Cdt Dr. Jose Lopez AntongiorgiPRClinical Medical Laboratory$0$607.1K
    Ricardo Hernandez-castilloPRPulmonary Disease Physician$28.6K$211.9K
    Eva Gonzalez MendezPREndocrinology, Diabetes & Metabolism Physician$30.6K$56K

    Nearby Providers

    Other providers in the same ZIP code as Omar Mendez Melendez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Puerto Rico Pathology Associates PPRAnatomic Pathology & Clinical Pathology Physician$0$6.8M
    Metro Pavia At Home LLCPRHome Health Agency$0$5.6M
    Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLCPRPhysical Medicine & Rehabilitation Physician$0$1.8M
    Retina Consultants Of P.r.PROphthalmology Physician$0$1.7M
    Er Specialized Care LLCPREmergency Medical Services (Emergency Medicine) Physician$0$1.5M
    Aid System LLCPRDiagnostic Radiology Physician$0$1.3M
    Rvp Dental Medical Center, LLCPRDental Clinic/Center$0$948.1K
    Oncology & Body Imaging PscPRDiagnostic Radiology Physician$0$905.6K
    Endourological Institute IncPRAmbulatory Surgical Clinic/Center$16.9K$609.4K
    Mirelis AcostaPRHematology & Oncology Physician$6.3K$215.1K

    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
    Omar Mendez Melendez — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico