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.

Instituto Medico Del Norte Inc (NPI 1154309169)

Instituto Medico Del Norte Inc is a general acute care hospital provider located in Vega Baja, Puerto Rico. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Instituto Medico Del Norte Inc
Address	Road #2 Km 39.5
City	Vega Baja
State	PR
ZIP	00693
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicaid	$760K
Medicare	$0

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	1,060	$140	$149.9K
99213	The 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…	2,740	$50	$139.6K
99281	The provider sees a patient for the lowest level emergency department visit.	5,830	$20	$93.3K
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.	970	$70	$70.4K
99214	The 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…	710	$100	$68K
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.	390	$160	$60.5K
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	660	$60	$38K
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…	4,020	$10	$28.2K
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…	2,910	$10	$26.2K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	290	$70	$20.7K

Showing 1–10 of 25

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

Instituto Medico Del Norte Inc — 1 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

25 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.	53	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.	28	70	730	$110	$178.7K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	76	110	270	$280	$148.1K
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.	42	80	1,150	$50	$125.5K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	41	50	160	$220	$84.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	42	80	200	$250	$83.6K
99284	The 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.	300	340	210	$70	$81.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	228	500	220	$40	$79.5K
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…	132	230	510	$60	$61K
99214	The 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…	329	900	360	$30	$42.5K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fernando Lopez Rodriguez	PR	Neuroradiology Physician	$41.6K	$37.6K
Armando Bonnet-mercier	PR	Diagnostic Radiology Physician	$62.5K	$0
Francisco Loubriel-mendez	PR	Diagnostic Radiology Physician	$33.5K	$0
Carlos Mendez-buso	PR	Diagnostic Radiology Physician	$19.7K	$0
Francisco Gomez Goytia	PR	Diagnostic Radiology Physician	$8K	$0
Ana Suarez Lozada	PR	Diagnostic Radiology Physician	$8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P.r. Clinical Reference Laboratory Inc	PR	Clinical Medical Laboratory	$19.4K	$3.7M
Laboratorio Clinico Del Mar LLC	PR	Clinical Medical Laboratory	$24.6K	$2.6M
Vega Baja Imaging LLC	PR	Diagnostic Radiology Physician	$0	$2M
Mini S Steps Csp	PR	Speech-Language Pathologist	$0	$1.6M
Vega Baja Radiology Psc	PR	Diagnostic Radiology Physician	$0	$1.5M
Maria Umpierre Marchand	PR	Dentist	$0	$1.3M
Prime Family Clinic LLC	PR	Primary Care Clinic/Center	$0	$1.2M
Laboratorio Clinico Figueroa P S C	PR	Clinical Medical Laboratory	$170	$826.4K
Prymed Medical Care Inc	PR	Clinical Medical Laboratory	$0	$817.9K
Prymed Medical Care, Inc	PR	Multi-Specialty Clinic/Center	$0	$785.5K

Instituto Medico Del Norte Inc — Billing Profile & Reimbursement Data

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Instituto Medico Del Norte Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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