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.

Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp (NPI 1093954125)

Field	Value
Entity Type	Organization
Organization	Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp
Address	33 Calle Resolucion
City	San Juan
State	PR
ZIP	00920
Taxonomy	Oral and Maxillofacial Surgery Clinic/Center
NPI Enumerated	February 12, 2009

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	1,360	$190	$253.1K
D9223	N/A	1,980	$120	$233.9K
D9222	N/A	1,890	$110	$208.3K
D0160	N/A	4,510	$40	$162.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	1,780	$90	$151.6K
D1999	N/A	4,130	$20	$61.9K
D0330	N/A	1,870	$30	$58K
D7250	N/A	120	$70	$8K

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

Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	12	30	980	$170	$378.3K
D9223	N/A	6	40	120	$110	$98.2K
D9222	N/A	5	30	300	$110	$97.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	13	100	150	$80	$83K
D0160	N/A	8	60	330	$40	$60.4K
D1999	N/A	187	950	1,350	$10	$35.1K
D0330	N/A	87	540	370	$30	$25.3K
D7250	N/A	16	30	160	$60	$14.2K

Nearby Providers

Other providers in the same ZIP code as Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Absolife Fms Corp	PR	Durable Medical Equipment & Medical Supplies	$0	$23.5M
Laboratorio Clinico Puerto Nuevo	PR	Clinical Medical Laboratory	$510	$787.4K
Laboratorio Clinico Cdt Dr. Jose Lopez Antongiorgi	PR	Clinical Medical Laboratory	$0	$607.1K
Hector Stella Estevez	PR	Pulmonary Disease Physician	$117.6K	$0
Luis Baerga-varela	PR	Physical Medicine & Rehabilitation Physician	$63.7K	$0
Raphael Colon-hernandez	PR	Emergency Medicine Physician	$37.8K	$0
Roberto Sanchez Cordova	PR	Podiatrist	$26K	$0
Sharon Velez-maymi	PR	Endocrinology, Diabetes & Metabolism Physician	$17.3K	$0
Liza Hernandez-gonzalez	PR	Interventional Pain Medicine Physician	$12.5K	$0
Alexandra Jarrot Sierra	PR	Chiropractor	$5.2K	$0

Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp — Billing Profile & Reimbursement Data

Sign up for Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp — Billing Profile & Reimbursement Data policy alerts

Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp — Billing Profile & Reimbursement Data

Sign up for Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References