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    OpenPayerNPI Medicare & MedicaidJose Battistini-christian
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    Jose Battistini-christian — Billing Profile & Reimbursement Data

    NPI 1104346014 · Ponce, PR · Emergency Medicine Physician

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    Jose Battistini-christian is a emergency medicine physician provider located in Ponce, Puerto Rico. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJose Battistini-christian
    Address917 Ave Tito Castro
    CityPonce
    StatePR
    ZIP00733
    TaxonomyEmergency Medicine Physician
    NPI EnumeratedJune 21, 2017

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

    Payer SourceTotal Paid
    Medicare$84.2K
    Medicaid$0

    Key Findings

    This provider is classified as Emergency Medicine Physician and the Medicare billing mix is dominated by high-acuity emergency and critical care services: 99285 ($47.1K, 55.9% of Medicare revenue), 99291 ($20.4K, 24.2%), and 99284 ($13K, 15.4%). The precomputed top-3 concentration is 95.5% of Medicare revenue, indicating that nearly all billed Medicare activity is concentrated in complex ED encounters and critical care time rather than routine outpatient services.

    Total Medicare revenue for the provider is $84.2K, while Medicaid revenue is none (no Medicaid billing on file), so the provider’s public-payor footprint is effectively single-payer Medicare. This asymmetric payer mix implies revenue and utilization risk is concentrated on Medicare policy, reimbursement changes, and Medicare-focused utilization review processes.

    Code-level competitive standing is mixed: 99285 ranks #4688 of 61347 providers nationally (92th percentile; notably above typical national volume for this code), signalling comparatively strong national volume for the highest-acuity ED visit. By contrast, 99291 ranks #11251 of 71290 providers nationally (84th percentile; typical, unremarkable volume for this code) and 99284 ranks #8368 of 64306 providers nationally (87th percentile; typical, unremarkable volume for this code), so the provider shows exceptional volume for high-acuity ED visits but otherwise typical volumes for other major codes.

    The extreme concentration in three codes (95.5% of Medicare revenue) creates revenue sensitivity: changes in reimbursement, documentation requirements, or payer scrutiny around 99285 and 99291 could materially affect total Medicare receipts. Because the top codes are procedure types that require high medical decision making and critical care documentation, administrative or clinical changes in how those encounters are managed would disproportionately affect income.

    Smaller contributing codes are present but marginal to overall Medicare receipts: 99283 ($1.7K, 2.0%), 99238 ($1.6K, 1.9%), and 99282 ($544, 0.6%). Each of these smaller codes shows typical national volume by rank and percentile (99283: #10086 of 31069, 66th percentile; 99238: #17487 of 35692, 49th percentile; 99282: #1370 of 3059, 50th percentile), underscoring that lower-acuity and discharge-day management services are a minor part of this provider’s Medicare billing profile.

    From an operational perspective, the mixture of 99285 and 99291 as primary revenue drivers indicates this clinician’s Medicare activity centers on high-acuity emergency presentations and time-based critical care interventions rather than observation or low-acuity ED throughput. That pattern is consistent with staffing models or clinical roles where managing complex, time-intensive cases in the ED or critical care setting is the primary function.

    The provider has an NPI enumeration date of 2017-06-21 (~9 years ago), indicating an established Medicare billing presence over multiple years. This tenure provides a longitudinal billing footprint that can be useful when assessing changes in case mix or utilization of high-acuity emergency and critical care codes over time.

    Given the combination of modest absolute Medicare revenue ($84.2K) and strong relative volume for 99285 (notably above typical national volume for this code), the provider appears to be a specialist-focused emergency clinician with concentrated revenue streams; payers and network managers should treat the profile as high-acuity service-line exposure with limited diversification across payers and codes.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.330$140$47.1K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…120$170$20.4K
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.130$100$13K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.30$60$1.7K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$60$1.6K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.20$30$540

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99285270100$140$16.4K
    9929137040$170$9K
    99284913040$90$4.7K
    992835214020$50$1.9K
    99238217020$60$1.8K
    9928271020$30$740

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jose Battistini-christian, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paragon Emergency Services LLCFLEmergency Medicine Physician$0$53.1M
    Emergency Medicine Services Of Fl, LLCFLEmergency Medicine Physician$0$37.5M
    Jose AvilaFLEmergency Medicine Physician$770.7K$0
    Anthony BekkermanGUEmergency Medicine Physician$49.5K$623.9K
    Edward LucasFLEmergency Medicine Physician$165K$257.3K
    Franz PlumFLFamily Medicine Physician$397.4K$0
    Jason GrabertNVEmergency Medicine Physician$124.8K$177.1K
    Ruslan IvanovFLEmergency Medicine Physician$267.9K$0
    Deepak ReddyMIEmergency Medicine Physician$75.8K$169.6K
    Donal SpryMIEmergency Medicine Physician$232.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Jose Battistini-christian, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Primary Medical Group, C.s.p.PRClinic/Center$0$861.5K
    Leniel SantanaPREmergency Medical Services (Emergency Medicine) Physician$26K$0
    Javier GonzalezPREmergency Medicine Physician$22.7K$0
    Manuel Santiago CummingsPRAnesthesiology Physician$9.2K$0

    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
    Jose Battistini-christian — 2 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico