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.

Dr Jose A Nassar & Asociados (NPI 1124022744)

Key Findings

Field	Value
Entity Type	Organization
Organization	Dr Jose A Nassar & Asociados
Address	63 Cruz Ortiz Stella Ave.
City	Humacao
State	PR
ZIP	00791
Taxonomy	Radiology Clinic/Center
NPI Enumerated	June 10, 2005

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Payer mix and scale: This entity has no Medicare billing on file and reports $6.3M in lifetime Medicaid revenue, making its public payment footprint effectively single‑payer and concentrated on Medicaid. The absence of Medicare activity means comparisons and competitive judgments should be framed against in‑state Medicaid peers rather than a mixed Medicare/Medicaid profile.

Revenue concentration: The top three Medicaid codes — 76641, 77066, and 77067 — together account for 41.3% of the provider’s total Medicaid revenue, indicating concentrated dependence on breast imaging services. Individually, 76641 accounts for $1M (17.1%), 77066 for $735.9K (12.2%), and 77067 for $732.9K (12.1%) of Medicaid revenue, so changes to reimbursement or utilization for these breast imaging services would materially affect overall revenue.

Business/service‑line profile: The CPT mix is characteristic of a high‑volume outpatient radiology clinic focused on multimodality diagnostic imaging with particular emphasis on breast imaging (76641, 77066, 77067), a broad portfolio of ultrasound services (e.g., 76700 abdominal, 76830 transvaginal, 76856 pelvic), CT (74176, 74178, 71250), and high-volume plain radiography. That combination suggests the operation delivers both screening and diagnostic workflows across mammography, ultrasound, CT, and general X‑ray rather than a narrow single‑modality site.

Competitive standing in breast imaging: The provider is a statewide leader in mammography volume — 76641 ranks #3 of 183 providers (99th percentile, described as an extreme outlier), 77066 ranks #4 of 133 (98th percentile, extreme outlier), and 77067 ranks #11 of 153 (93th percentile, notably above typical). These rank/percentile positions identify the practice as a dominant outlier in breast imaging volumes within Puerto Rico Medicaid data.

Competitive standing across other modalities: Beyond mammography, the provider also ranks at or near the top statewide for multiple ultrasound and radiography codes: 76700 ranks #1 of 225 (100th percentile, extreme outlier), 76830 ranks #2 of 220 (100th percentile, extreme outlier), and several X‑ray codes (e.g., 73560, 72100, 73620, 72040, 73120, 73600) are ranked #1 in‑state (100th percentile, extreme outlier). This pattern indicates market dominance across a range of diagnostic imaging services, not only breast studies.

Operational implications from volumes: Claim volumes are substantial across modalities — examples include 12.8K claims for 76641, 10.4K claims for 76700, 8.6K claims for 76830, and 26.3K claims for 71046 — consistent with a high‑throughput imaging center supporting routine screening and diagnostic workflows. Such throughput implies the organization operates multiple scanner rooms or sessions and standardized workflows to manage large Medicaid patient volumes, which should be considered when modeling capacity, scheduling, or equipment needs.

Revenue diversification beyond top three: Although 41.3% of Medicaid revenue is concentrated in the top three breast imaging codes, meaningful revenue also comes from numerous other modalities — for example, 74176 ($392.4K), 76700 ($549K), 71046 ($289.1K), and 76536 ($256.4K) — indicating the practice has diversified income streams across ultrasound, CT, and radiography that moderate but do not eliminate dependence on breast imaging.

Tenure and market footprint: The provider’s NPI was enumerated on 2005-06-10 (~21 years ago), reflecting an established presence in the local market. That long tenure, combined with the extreme‑outlier ranks across many codes, supports the interpretation that this clinic is a well‑entrenched imaging provider in Puerto Rico’s Medicaid ecosystem.

Medicaid: Complete Services Breakdown

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

56 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	12,760	$80	$1M
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	6,880	$110	$735.9K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	8,420	$90	$732.9K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	10,360	$50	$549K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	8,600	$50	$464.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	4,670	$80	$392.4K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	26,280	$10	$289.1K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	4,420	$60	$256.4K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	4,070	$60	$228.1K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4,320	$40	$181.3K

Showing 1–10 of 56

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

Dr Jose A Nassar & Asociados — 20 of 25 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

56 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	16	80	900	$110	$242K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	61	70	730	$110	$178.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	11	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	3	180	890	$70	$145.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	15	80	1,150	$50	$125.5K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	4	130	480	$90	$109.4K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	1	230	510	$60	$61K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	21	40	90	$170	$50.8K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	2	220	290	$60	$47.2K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	4	170	310	$60	$46.5K

Showing 1–10 of 56

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Roxell Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Redes De Salud Inc.	PR	Specialist	$0	$1.7M
Jimergency Medical Transport Inc.	PR	Ambulance	$46.2K	$1.5M
Yamilka Abreu Delgado	PR	Gastroenterology Physician	$0	$1.2M
Eastern Retina Consultants Of Puerto Rico, Psc	PR	Ophthalmology Physician	$0	$1.2M
Instituto De Radioterapia Avanzada Del Este, Psc	PR	Radiation Oncology Clinic/Center	$0	$1.1M
Servicios Anatomico Patologicos Oriental, Inc.	PR	Clinical Medical Laboratory	$2.6K	$1.1M
Vc Partners LLC	PR	Diagnostic Radiology Physician	$0	$1M
Ivette Rodriguez	PR	Pediatric Dentistry	$0	$936.9K
Ruben Guadalupe	PR	Obstetrics & Gynecology Physician	$0	$889.8K

Dr Jose A Nassar & Asociados — Billing Profile & Reimbursement Data

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Dr Jose A Nassar & Asociados — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References