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.

Priscila Negron (NPI 1144354895)

Field	Value
Entity Type	Individual
Organization	Priscila Negron
Address	Urb. El Parque B2
City	Barceloneta
State	PR
ZIP	00617
Taxonomy	Audiologist
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$966K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92651	In this procedure, the provider measures the patient’s response to nonspecific frequency sound stimuli to determine hearing status. The service includes an interpretation and report.	7,300	$60	$452.3K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	3,190	$50	$143.4K
92586	N/A	2,390	$50	$122K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,480	$50	$71.2K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	2,290	$30	$68.8K
92570	The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…	3,040	$20	$57.7K
92585	N/A	360	$60	$20.6K
99201	Deleted code, effective Jan. 1, 2021	970	$20	$19.4K
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…	110	$70	$8K
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	70	$20	$1.5K

Showing 1–10 of 11

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

Priscila Negron — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92651	In this procedure, the provider measures the patient’s response to nonspecific frequency sound stimuli to determine hearing status. The service includes an interpretation and report.	1	10	3,120	$60	$241.2K
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	3	50	410	$40	$50.1K
92586	N/A	1	10	620	$50	$47K
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…	781	1,400	160	$50	$29.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	6	50	410	$30	$27.8K
92585	N/A	3	10	40	$80	$22.6K
92570	The provider uses this global service code which bundles a tympanometry, reflex threshold measurement, and reflex decay testing when the provider performs all three tests. This group of services…	2	50	250	$20	$13.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	19	320	130	$20	$12.7K
92650	In this procedure, the provider measures the patient’s response to sound stimuli to screen auditory potential (electrical response). The screening uses frequency nonspecific stimuli and automated…	2	10	70	$50	$8.1K
92652	In this procedure, the provider measures the patient’s response to sound stimuli for threshold estimation at multiple frequencies. The service includes an interpretation and report.	2	10	140	$50	$7.5K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Learn & Grow Therapy Group LLC	PR	Speech-Language Pathologist	$0	$32.1M
Luz Butler Moya	PR	Physical Therapist	$0	$1.5M
Walgreen Co	PR	Pharmacy	$67K	$0
Enid Guzman	PR	Certified Registered Nurse Anesthetist	$5.4K	$0
Carlos Gil	PR	General Practice Physician	$1.2K	$0

Priscila Negron — Billing Profile & Reimbursement Data

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Priscila Negron — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References