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.

Optima Infusion Pharmacy Inc (NPI 1063525210)

Field	Value
Entity Type	Organization
Organization	Optima Infusion Pharmacy Inc
Address	Carr 2 Km 26.2
City	Dorado
State	PR
ZIP	00646
Taxonomy	Pharmacy
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9097	Home visit for wound care	17,450	$70	$1.2M
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	6,700	$70	$448.9K
T1030	Nursing care, in the home, by registered nurse, per diem	3,430	$70	$243.2K
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	2,320	$40	$83.5K
T1001	Nursing assessment / evaluation	430	$60	$24.8K
J3370	Injection, vancomycin hcl, 500 mg	50	$60	$2.7K
M0223	Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the…	20	$60	$1.2K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	30	$10	$290
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	30	$1	$50
J2405	Injection, ondansetron hydrochloride, per 1 mg	30	$1	$30

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

Optima Infusion Pharmacy Inc — 0 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	2	10	2,250	$80	$1.2M
S9097	Home visit for wound care	3	20	4,150	$70	$761.3K
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	3	10	1,710	$100	$394.7K
T1030	Nursing care, in the home, by registered nurse, per diem	6	30	1,360	$80	$228.4K
T1001	Nursing assessment / evaluation	13	20	650	$60	$178.3K
J3370	Injection, vancomycin hcl, 500 mg	4	10	510	$120	$53.2K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	190	210	1,600	$10	$27.7K
M0223	Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the…	3	10	50	$120	$21.9K
J2405	Injection, ondansetron hydrochloride, per 1 mg	37	40	410	$1	$5.2K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	76	90	150	$1	$1.7K

Nearby Providers

Other providers in the same ZIP code as Optima Infusion Pharmacy Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Vision LLC	PR	Ophthalmology Physician	$0	$759.6K
Shc Owner LLC	PR	General Acute Care Hospital	$0	$645.2K
Jose Puig Rivera	PR	Physical Medicine & Rehabilitation Physician	$20.6K	$475.2K
Yamil Castillo Beauchamp	PR	Surgery Physician	$29.5K	$289.3K
Carlos Robles	PR	Pulmonary Disease Physician	$5.9K	$208.3K
Walgreen Co	PR	Pharmacy	$122.4K	$0
Hector Mayol	PR	Ophthalmology Physician	$13.8K	$102.8K
Iliana Alvarez Ramirez	PR	Diagnostic Radiology Physician	$35.1K	$10.1K
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$41.8K	$0
Sara Sanz Lebron	PR	Anatomic Pathology & Clinical Pathology Physician	$37.7K	$0

Optima Infusion Pharmacy Inc — Billing Profile & Reimbursement Data

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Optima Infusion Pharmacy Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References