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.

Carmen Velazquez (NPI 1104902162)

Field	Value
Entity Type	Individual
Organization	Carmen Velazquez
Address	101 Ave San Patricio
City	Guaynabo
State	PR
ZIP	00968
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicare	$14.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	150	$60	$9.5K
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…	60	$80	$4.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	20	$50	$970

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Carmen Velazquez — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
20610	28	40	30	$50	$6.1K
99213	151	1,530	50	$60	$4.2K
99203	31	480	20	$70	$1.8K

Nearby Providers

Other providers in the same ZIP code as Carmen Velazquez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alivia Specialty, LLC	PR	Specialty Pharmacy	$0	$189M
Medtronic Puerto Rico Operations	PR	Durable Medical Equipment & Medical Supplies	$0	$19.7M
Cuerpo De Emergencias Medicas De	PR	Land Ambulance	$108.2K	$9.4M
Ortho & Surgical Solutions, Inc	PR	Prosthetic/Orthotic Supplier	$0	$7.8M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Bard Shannon Limited	PR	Prosthetic/Orthotic Supplier	$0	$1.2M
Guaynabo Ambulatory Surgical Group, Inc	PR	Ambulatory Surgical Clinic/Center	$275K	$53.4K
Ricardo Hernandez-castillo	PR	Pulmonary Disease Physician	$28.6K	$211.9K
Maria De Aranzazu Villamil Jarauta	PR	Endocrinology, Diabetes & Metabolism Physician	$42.3K	$151.8K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K

Carmen Velazquez — Billing Profile & Reimbursement Data

Sign up for Carmen Velazquez — Billing Profile & Reimbursement Data policy alerts

Carmen Velazquez — Billing Profile & Reimbursement Data

Sign up for Carmen Velazquez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References