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.

Hildamari Justiniano Garcia (NPI 1083818009)

Field	Value
Entity Type	Individual
Organization	Hildamari Justiniano Garcia
Address	Pr -2 Km. 150.2
City	Mayaguez
State	PR
ZIP	00682
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 13, 2007

Payer Source	Total Paid
Medicare	$25.7K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	30	$430	$12K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	20	$330	$5.9K
99213	The 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…	60	$60	$3.3K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	30	$80	$1.9K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	20	$60	$1.2K
99203	The 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	$60	$980
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$40	$480

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

Claims Volume vs. Puerto Rico Distribution

Hildamari Justiniano Garcia — 0 of 7 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. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	40	$450	$27.5K
17312	3	10	30	$330	$10.6K
99213	634	1,530	50	$60	$4.2K
11102	32	50	30	$70	$3.1K
17110	13	30	30	$80	$2.7K
99212	153	160	30	$40	$1.8K
99203	277	480	20	$70	$1.8K

Nearby Providers

Other providers in the same ZIP code as Hildamari Justiniano Garcia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc	PR	General Acute Care Hospital	$0	$7.1M
West Eye Specialists, LLC	PR	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
West Cardio General Anesthesia Csp	PR	Anesthesiology Physician	$0	$2.3M
Adriana Mendez Sanchez	PR	Neurology with Special Qualifications in Child Neurology Physician	$0	$835.7K
Hgr Paramedic Transport Inc	PR	Ambulance	$20K	$722.4K
Jose A. Cancio Md, C.s.p.	PR	Specialist	$0	$624.1K
Juan Almodovar	PR	Ophthalmology Physician	$11.3K	$509.5K
Myrna E Montalvo Castillo	PR	Clinical Medical Laboratory	$12.4K	$393.2K
Walgreen Co	PR	Pharmacy	$106.7K	$0
Alberto Guardiola	PR	Ophthalmology Physician	$22.6K	$83.8K

Hildamari Justiniano Garcia — Billing Profile & Reimbursement Data

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Hildamari Justiniano Garcia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References