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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRecinto De Ciencias Medicas
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    Recinto De Ciencias Medicas — Billing Profile & Reimbursement Data

    NPI 1134282858 · Carolina, PR · Obstetrics & Gynecology Physician

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    Recinto De Ciencias Medicas is a obstetrics & gynecology physician provider located in Carolina, Puerto Rico. This profile covers 0 Medicare and 16 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 TypeOrganization
    OrganizationRecinto De Ciencias Medicas
    AddressAve. 65 De Infanteria
    CityCarolina
    StatePR
    ZIP00984
    TaxonomyObstetrics & Gynecology Physician
    NPI EnumeratedDecember 18, 2006

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

    Payer SourceTotal Paid
    Medicaid$2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.6,880$90$626.4K
    99213The 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…18,870$30$603.8K
    76815The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.6,820$60$422.5K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.4,130$40$144.6K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,190$80$91.4K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…1,320$50$60.7K
    99242The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…850$50$44.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…130$100$13.1K
    99442N/A300$40$11K
    99443N/A110$60$5.9K

    Showing 1–10 of 16

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.13340210$70$81.7K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.192080$70$75.4K
    76815The provider performs a limited examination of the fetus using ultrasound. The provider performs the examination of certain parameters for one or more fetuses.230210$60$53.9K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…232900360$30$42.5K
    99213The 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…1223,230330$10$42.4K
    99203The 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…8271,400160$50$29.6K
    59025In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.320190$20$26.3K
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…5370240$30$24.4K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…22150110$30$24.3K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…230530100$70$22.9K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Recinto De Ciencias Medicas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPREmergency Medicine Physician$0$6.8M
    Recinto De Ciencias MedicasPRNeonatal-Perinatal Medicine Physician$0$5.4M
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$4.2M
    Recinto De Ciencias MedicasPRPediatrics Physician$0$4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Recinto De Ciencias MedicasPRInternal Medicine Physician$0$3.4M
    Recinto De Ciencias MedicasPRPediatric Cardiology Physician$0$3.1M
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$3M
    Recinto De Ciencias MedicasPRMaternal & Fetal Medicine Physician$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as Recinto De Ciencias Medicas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Speed Express IncPRNon-emergency Medical Transport (VAN)$0$1.7M
    Recinto De Ciencias MedicasPROphthalmology Physician$0$1M
    Recinto De Ciencias MedicasPRCardiovascular Disease Physician$0$953.7K
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$823.2K
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$764.2K
    Recinto De Ciencias MedicasPRUrology Physician$0$749.9K
    Lilliana Villar MenendezPRCertified Registered Nurse Anesthetist$79.8K$0
    Bianca RiveraPREmergency Medicine Physician$77.8K$0
    Paula Marin-acevedoPREmergency Medicine Physician$32.4K$4.2K
    Lizabeth Perez-pascualPREmergency Medicine Physician$35.5K$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.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Recinto De Ciencias Medicas — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico