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    OpenPayerNPI Medicare & MedicaidCentro De Diagnostico Y Tratamiento De San Sebasti…
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    Centro De Diagnostico Y Tratamiento De San Sebastian Inc — Billing Profile & Reimbursement Data

    NPI 1164466363 · San Sebastian, PR · Health Service Clinic/Center

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    Centro De Diagnostico Y Tratamiento De San Sebastian Inc is a health service clinic/center provider located in San Sebastian, Puerto Rico. This profile covers 0 Medicare and 48 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
    OrganizationCentro De Diagnostico Y Tratamiento De San Sebastian Inc
    Address3 Jose Mendez Cardona Ave.
    CitySan Sebastian
    StatePR
    ZIP00685
    TaxonomyHealth Service Clinic/Center
    NPI EnumeratedJune 16, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.2M
    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.

    48 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…10,770$20$236.9K
    0002AN/A6,760$30$209.4K
    0001AN/A6,740$30$175.3K
    0003AN/A3,170$40$123.8K
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.2,600$40$114.4K
    0064AN/A1,650$40$64.5K
    0071AN/A1,080$40$40.9K
    0072AN/A850$40$33K
    0012AN/A710$40$26.9K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.760$30$22.2K

    Showing 1–10 of 48

    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

    48 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.26801,370$40$272.9K
    74176The 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.6180900$110$242K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…31501,180$70$170.3K
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.98180890$70$145.5K
    70450The 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.76801,150$50$125.5K
    77066The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…49130480$90$109.4K
    76700An 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…141230510$60$61K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.119220290$60$47.2K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.136170310$60$46.5K
    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…580900360$30$42.5K

    Showing 1–10 of 48

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Centro De Diagnostico Y Tratamiento De San Sebastian Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Luis RodriguezPRDiagnostic Radiology Physician$2K$1.3M
    Centro De Diagnostico Y Tratamiento De San Sebastian IncPRClinical Medical Laboratory$5.1K$747.6K
    Jose NassarPRDiagnostic Radiology Physician$18K$0
    Carlos NassarPRDiagnostic Radiology Physician$17.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Centro De Diagnostico Y Tratamiento De San Sebastian Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mpl Maxillofacial Surgery, PscPROral and Maxillofacial Surgery (Dentist)$0$3.8M
    Jose RabellPRGeneral Practice Dentistry$0$3.1M
    Laboratorio Clinico Lebron, Inc.PRClinical Medical Laboratory$600$1.9M
    Centro De Diagnostico Y Tratamiento De San Sebastian IncPRDiagnostic Radiology Physician$0$1.9M
    Lexmayris Ambulance, Inc.PRLand Ambulance$30.4K$1.5M
    Laboratorio Clinico Irizarry Guasch IncPRClinical Medical Laboratory$0$1.5M
    Centro Familiar De Servicios Dentales, CspPRDentist$0$1.3M
    StepbysteptherapygroupPRHearing and Speech Clinic/Center$0$922.6K
    Nicole QuintanaPRGeneral Practice Dentistry$0$886.6K
    Confesor Lasalle-ruizPRCardiovascular Disease Physician$1.7K$876.5K

    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
    Centro De Diagnostico Y Tratamiento De San Sebastian Inc — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico