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.

Ernesto Collazo (NPI 1134112667)

Key Findings

Field	Value
Entity Type	Individual
Organization	Ernesto Collazo
Address	1503 Prof. Augusto Rodriguez
City	San Juan
State	PR
ZIP	00909
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 30, 2005

Payer Source	Total Paid
Medicare	$112.5K
Medicaid	$0

This provider has a long-tenured Medicare presence (NPI enumerated 2005-08-30, ~21 years ago) but a small overall Medicare billing footprint: total Medicare revenue is $112.5K and there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in the available claims data. The absence of any Medicaid entries (“none below — this provider has no Medicaid billing on file”) suggests limited participation or enrollment in state programs rather than mixed-payer scale within the dataset.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 44.6% of this provider's total Medicare revenue, with 92014 contributing $22.4K (19.9%), 92012 contributing $16.5K (14.7%), and 92273 contributing $11.3K (10.0%). This concentration indicates that a small number of routine ophthalmology exams and electrophysiologic testing sessions drive nearly half of reported Medicare receipts.

The CPT mix signals a clinical focus on established-patient eye care plus diagnostic electrophysiology and in-office minor procedures: high-revenue codes include 92014 and 92012 (comprehensive and intermediate established patient exams), and 92273 (electroretinography). Procedural codes with meaningful revenue — 66821 (YAG capsulotomy), 68761 (lacrimal punctal plug), and 65855 (argon laser trabeculoplasty) — show that in-office laser and minor surgical procedures are part of the service offering alongside diagnostic testing.

Competitive standing across top codes is broadly modest to typical rather than dominant: 92014 ranks #10541 of 35415 (70th percentile; typical, unremarkable volume), 92012 ranks #3896 of 17177 (77th percentile; typical, unremarkable volume), and 92273 ranks #264 of 1106 (76th percentile; typical, unremarkable volume). These percentiles indicate competent, routine volumes for an ophthalmology physician nationally but not a major market-leading presence in any single top code.

The provider shows relatively strong percentile performance on several diagnostic testing codes, suggesting a diagnostic/testing emphasis within the practice: 92133 (218 claims, $5.5K revenue) ranks in the 87th percentile, 0509T (101 claims, $5.1K revenue) ranks in the 75th percentile, and 95930 (94 claims, $4.9K revenue) ranks in the 79th percentile — each described as typical, unremarkable volume for those codes. These higher percentiles for specialized testing (OCT, pattern ERG, visual evoked potentials) point to routine use of subspecialty diagnostics that supplement exam-based revenue.

Several service lines show limited activity relative to national peers, indicating narrow procedural breadth in certain areas: 76519 (19 claims, $722 revenue) ranks in the 16th percentile, 92020 (13 claims, $286 revenue) ranks in the 7th percentile, and 92134 (31 claims, $899 revenue) ranks in the 27th percentile — all labeled as typical, unremarkable volume for those codes. This pattern suggests lower engagement in A-scan biometry, anterior chamber angle gonioscopy, and some retinal imaging relative to many peers.

Average paid-per-claim on the top exam and testing codes is moderate and aligns with their revenue contributions: 92014 averages $85 paid/claim, 92012 averages $63 paid/claim, and 92273 averages $93 paid/claim. Those per-claim values, combined with claim counts (e.g., 263 claims for 92014 and 262 claims for 92012), explain why routine exams and electrophysiologic testing together form the financial core of the Medicare portfolio.

From a payer-strategy perspective, reliance on Medicare ($112.5K lifetime reported) with no Medicaid billing on file exposes the practice to Medicare reimbursement trends and beneficiary volume shifts; the dataset shows no Medicaid contribution to diversify revenue. Given the concentrated revenue mix (top 3 codes = 44.6%) and the modest national percentiles, the provider appears positioned as a stable, diagnostically oriented ophthalmologist with focused in-office procedural activity rather than a high-volume surgical center or a major multi-payer practice in the available claims data.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	260	$90	$22.4K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	260	$60	$16.5K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	120	$90	$11.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$250	$7.6K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	40	$160	$6.2K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	30	$190	$6K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	220	$30	$5.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	60	$90	$5.4K
83861	The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.	230	$20	$5.1K
0509T	The provider performs pattern electroretinography (PERG), an electrophysiologic technology to assess the function of both the retina and macula. The retina is tissue at the back of the eye that is…	100	$50	$5K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Option Healthcare Puerto Rico LLC	PR	Home Infusion Therapy Pharmacy	$0	$41.5M
Vita Healthcare Inc	PR	Home Health Agency	$0	$9.4M
Eladio Perez Cruz	PR	Gastroenterology Physician	$2.1K	$2.5M
Felix Lugo-adams	PR	Interventional Cardiology Physician	$3.7K	$1.9M
Farmacia San Rafael Santurce, Inc	PR	Community/Retail Pharmacy	$0	$1.5M
Lauren Lynch	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
St Gianna Pediatrics	PR	Pediatrics Physician	$0	$1.3M
Jaime Ruiz-rodriguez	PR	Cardiovascular Disease Physician	$17.7K	$1.2M
Empresas Alvaro Torres	PR	Speech-Language Pathologist	$0	$1.1M
Best Option Healthcare Puerto Rico LLC	PR	Home Health Agency	$0	$1.1M

Ernesto Collazo — Billing Profile & Reimbursement Data

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Ernesto Collazo — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References