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    OpenPayerNPI Medicare & MedicaidJuan Portela-arraiza
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    Juan Portela-arraiza — Billing Profile & Reimbursement Data

    NPI 1063461788 · Manati, PR · Otolaryngology Physician

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    Juan Portela-arraiza is a otolaryngology physician provider located in Manati, Puerto Rico. This profile covers 7 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJuan Portela-arraiza
    AddressTorre Medica Dr. Pedro Blanco Lugo
    CityManati
    StatePR
    ZIP00674
    TaxonomyOtolaryngology Physician
    NPI EnumeratedMay 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$17.1K
    Medicare$12.6K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.40$140$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…70$50$3.4K
    99203The provider sees a new 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 provider…20$70$1.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.20$30$510
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…20$20$370
    92570The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…20$20$350
    92588The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…20$20$340

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3123192040$140$6.9K
    992135361,53050$60$4.2K
    9920317348020$70$1.8K
    69210364030$30$1.4K
    92570202030$20$930
    92557233020$30$920
    92588213030$20$910

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    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 CodeDescriptionClaimsAvg PaidRevenue
    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…80$80$6.5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$200$6.1K
    99203The provider sees a new 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 provider…40$110$4.5K

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.1620170$150$48.6K
    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…2,3093,230330$10$42.4K
    99203The provider sees a new 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 provider…1,0481,400160$50$29.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Juan Portela-arraiza, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPREmergency Medicine Physician$0$6.8M
    Recinto De Ciencias MedicasPRNeonatal-Perinatal Medicine Physician$0$5.4M
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$4.2M
    Recinto De Ciencias MedicasPRPediatrics Physician$0$4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Recinto De Ciencias MedicasPRInternal Medicine Physician$0$3.4M
    Recinto De Ciencias MedicasPRPediatric Cardiology Physician$0$3.1M
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$3M
    Recinto De Ciencias MedicasPRMaternal & Fetal Medicine Physician$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as Juan Portela-arraiza, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Pathology CspPRClinical Medical Laboratory$0$16.9M
    Pci Group LLCPRInterventional Cardiology Physician$0$9.6M
    Centro Cardiovascular De Manati Iii CspPRCardiovascular Disease Physician$0$5.7M
    Anestesia Del Norte P.s.c.PRSpecialist$0$5M
    Mogic Ob-gyn PscPRObstetrics & Gynecology Physician$0$4.9M
    Dorado Health IncPRGeneral Acute Care Hospital$0$3.7M
    Dentistas Asociados Del NortePRGeneral Practice Dentistry$0$3M
    Crilomil Corp.PRPediatric Dentistry$0$2.8M
    Hospitalist Medical Services, PscPRAnesthesiology Physician$0$2.7M
    Atlantic PathologyPRClinical Medical Laboratory$0$2.5M

    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
    Juan Portela-arraiza — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Juan Portela-arraiza — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico