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.

Rafael Gavilanes - Mendez (NPI 1154726131)

Field	Value
Entity Type	Individual
Organization	Rafael Gavilanes - Mendez
Address	1005 Ave General Ramey Ste 1
City	San Antonio
State	PR
ZIP	00690
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	November 3, 2014

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	2,020	$160	$323K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	3,600	$70	$262.7K
D9223	N/A	2,350	$60	$148.1K
D0160	N/A	3,490	$30	$115.2K
D9222	N/A	1,300	$90	$110.2K
D1999	N/A	3,060	$20	$45.9K
D0330	N/A	1,660	$20	$39.9K
D7230	N/A	150	$150	$22.2K
D7250	N/A	190	$60	$12K
D0140	Limited oral evaluation – problem focused	100	$10	$1.3K

Showing 1–10 of 12

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

Rafael Gavilanes - Mendez — 1 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	10	30	980	$170	$378.3K
D7230	N/A	11	20	270	$150	$117.6K
D9223	N/A	5	40	120	$110	$98.2K
D9222	N/A	6	30	300	$110	$97.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	9	100	150	$80	$83K
D0160	N/A	12	60	330	$40	$60.4K
D1999	N/A	267	950	1,350	$10	$35.1K
D0330	N/A	100	540	370	$30	$25.3K
D7250	N/A	13	30	160	$60	$14.2K
D9219	N/A	1	10	370	$20	$4.9K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Rafael Gavilanes - Mendez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recinto De Ciencias Medicas	PR	Emergency Medicine Physician	$0	$6.8M
Recinto De Ciencias Medicas	PR	Neonatal-Perinatal Medicine Physician	$0	$5.4M
Recinto De Ciencias Medicas	PR	Diagnostic Radiology Physician	$0	$4.2M
Recinto De Ciencias Medicas	PR	Pediatrics Physician	$0	$4M
Recinto De Ciencias Medicas	PR	Obstetrics & Gynecology Physician	$0	$3.8M
Recinto De Ciencias Medicas	PR	Internal Medicine Physician	$0	$3.4M
Recinto De Ciencias Medicas	PR	Pediatric Cardiology Physician	$0	$3.1M
Recinto De Ciencias Medicas	PR	Clinical Medical Laboratory	$0	$3.1M
Recinto De Ciencias Medicas	PR	Orthopaedic Surgery Physician	$0	$3M
Recinto De Ciencias Medicas	PR	Maternal & Fetal Medicine Physician	$0	$2.7M

Nearby Providers

Other providers in the same ZIP code as Rafael Gavilanes - Mendez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fdg Servicios Dentales, Psc	PR	General Practice Dentistry	$0	$1.8M

Rafael Gavilanes - Mendez — Billing Profile & Reimbursement Data

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Rafael Gavilanes - Mendez — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References