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.

Jose Fumero (NPI 1144245432)

Field	Value
Entity Type	Individual
Organization	Jose Fumero
Address	104 Calle Rey Fernando
City	Coto Laurel
State	PR
ZIP	00780
Taxonomy	Neuroradiology Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicare	$3.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	190	$10	$1.1K
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…	100	$10	$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.	30	$30	$780
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	10	$20	$290
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	20	$10	$130
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	20	$10	$110
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	20	$10	$100

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Jose Fumero — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93970	46	50	20	$110	$3K
70450	31	60	30	$30	$2K
71045	11	90	50	$10	$760
71046	11	110	30	$10	$620
72100	24	50	20	$20	$440
73030	27	40	20	$20	$390
74018	11	10	20	$10	$230

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mennonite General Hospital Inc	PR	Specialist	$0	$8.3M
Mennonite General Hospital Inc	PR	General Acute Care Hospital	$0	$2.8M
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$2.4M
Hospital Menonita De Cayey	PR	Specialist	$0	$2.4M
Hospital Menonita De Cayey	PR	General Acute Care Hospital	$0	$1.8M
Southern Hospital Services	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.6M
San Cristobal Oncology Services Inc	PR	Radiation Oncology Physician	$0	$1.4M
Hospital Menonita Guayama Inc	PR	Critical Access Hospital	$0	$1.3M
Carlene Cadiz Fuentes	PR	Obstetrics & Gynecology Physician	$0	$1.2M
Wilfredo De Jesus Rojas	PR	Pediatric Pulmonology Physician	$0	$1.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nelson Medina	PR	Gastroenterology Physician	$1.5K	$2.7M
Anesthesia Providers Group, P.s.c.	PR	Specialist	$0	$1.9M
Ahmed Morales Jorge	PR	Gastroenterology Physician	$1.8K	$1.6M
San Cristobal Anesthesia Csp	PR	Anesthesiology Physician	$0	$1.5M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1M
Quality Health Services Of Puerto Rico Inc	PR	General Acute Care Hospital	$0	$1M
Centro Integrado De Cancer Del Sur, Psc	PR	Hematology & Oncology Physician	$0	$937.2K
Hospital Menonita Ponce Inc	PR	Specialist	$0	$802.3K
Humberto Vazquez Colon	PR	General Practice Dentistry	$0	$607.9K
Jorge Grillasca Palou	PR	Nephrology Physician	$31.8K	$325.3K

Jose Fumero — Billing Profile & Reimbursement Data

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Jose Fumero — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References