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.

Caremark Puerto Rico Specialty (NPI 1053585257)

Field	Value
Entity Type	Organization
Organization	Caremark Puerto Rico Specialty
Address	6020 Ave Roberto Sanchez Vilella
City	Carolina
State	PR
ZIP	00982
Taxonomy	Specialty Pharmacy
NPI Enumerated	April 17, 2008

Payer Source	Total Paid
Medicaid	$1.8M
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
J0178	Injection, aflibercept, 1 mg	940	$1,870	$1.8M
J7507	Tacrolimus, immediate release, oral, 1 mg	30	$20	$630
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	310	$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

Caremark Puerto Rico Specialty — 0 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
J0178	Injection, aflibercept, 1 mg	3	10	1,480	$1,790	$3.7M
J7507	Tacrolimus, immediate release, oral, 1 mg	2	10	30	$200	$8.8K
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	1	10	310	$1	$30

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caremark Puerto Rico Specialty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Pharmacy Direct, LLC.	PA	Specialty Pharmacy	$8.3M	$227.3M
Caremark, L.L.C.	IL	Specialty Pharmacy	$0	$34.1M
Caremark, L.L.C.	CA	Specialty Pharmacy	$13.4M	$19.9M
Caremark, L.L.C.	FL	Specialty Pharmacy	$1.1M	$7.3M
Caremark L.L.C.	KS	Pharmacy	$0	$2.5M

Nearby Providers

Other providers in the same ZIP code as Caremark Puerto Rico Specialty, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harry Alverio Rodriguez	PR	Physical Medicine & Rehabilitation Physician	$3.7K	$1.5M
Jorge Ortiz Class	PR	General Practice Dentistry	$0	$981K
Laboratorio Clinico Doctor Center, Inc.	PR	Clinical Medical Laboratory	$51.6K	$688.6K
Walgreen Co	PR	Pharmacy	$62.6K	$0
Miguel Serrano-alvarez	PR	Chiropractor	$2.4K	$0

Caremark Puerto Rico Specialty — Billing Profile & Reimbursement Data

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Caremark Puerto Rico Specialty — 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