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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarlos Remedios-carbone
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    Carlos Remedios-carbone — Billing Profile & Reimbursement Data

    NPI 1164596771 · Ponce, PR · Radiation Oncology Physician

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    Carlos Remedios-carbone is a radiation oncology physician provider located in Ponce, Puerto Rico. This profile covers 0 Medicare and 14 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 TypeIndividual
    OrganizationCarlos Remedios-carbone
    AddressEdif Parras # 203
    CityPonce
    StatePR
    ZIP00717
    TaxonomyRadiation Oncology Physician
    NPI EnumeratedNovember 17, 2006

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

    Payer SourceTotal Paid
    Medicaid$1M
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77385N/A1,920$280$537.3K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…1,370$90$116.1K
    77014N/A2,450$40$100.4K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…210$410$85.5K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…1,430$40$55.7K
    77387The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.2,100$20$44.1K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…340$90$30.2K
    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…240$70$18.1K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.140$80$10.9K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.170$60$9.1K

    Showing 1–10 of 14

    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

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77385N/A1101,120$310$340.5K
    77014N/A3102,040$70$213.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…5101,170$110$185.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…5101,230$50$81.3K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…410170$300$55.5K
    77387The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.310250$20$47.7K
    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…496900360$30$42.5K
    99213The 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…1,9273,230330$10$42.4K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.410140$160$41.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…10716090$90$31.8K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Carlos Remedios-carbone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandra Gracia-lopezPRNuclear Medicine Physician$26.7K$4.1M
    Hector Velez CortesPRHematology & Oncology Physician$4.3K$4M
    Hiram OrtegaPRGastroenterology Physician$8.8K$3.1M
    Nelson MedinaPRGastroenterology Physician$1.5K$2.7M
    Eduardo Perez RodriguezPROphthalmology Physician$21.7K$2.3M
    Santa MerlePRHematology & Oncology Physician$4.5K$2M
    Amarilys Santiago RolonPRGastroenterology Physician$510$1.6M
    Harry Alverio RodriguezPRPhysical Medicine & Rehabilitation Physician$3.7K$1.5M
    Adalberto MendozaPRAnatomic Pathology & Clinical Pathology Physician$13.3K$1.5M
    Luz Butler MoyaPRPhysical Therapist$0$1.5M

    Nearby Providers

    Other providers in the same ZIP code as Carlos Remedios-carbone, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caribbean Imaging And Radiation Treatment Center,incPRMulti-Specialty Clinic/Center$0$19.3M
    Compression Health Care IncPROxygen Equipment & Supplies (DME)$0$10.6M
    Caribbean Cancer Care Services, LLCPRMedical Oncology Physician$0$6.5M
    Oficina Medica Dr Quintero PscPRSpecialist$0$4.9M
    Pet Diagnostic Imaging CorpPRRadiology Clinic/Center$0$4.8M
    Centro Oncologico De La Mujer De Puerto Rico CspPROncology Clinic/Center$0$3.8M
    Caribbean Wellness Oncology, PscPRHematology & Oncology Physician$0$3.6M
    Jose Santiago AlvaradoPRAnatomic Pathology & Clinical Pathology Physician$17.2K$3.2M
    Dr German Chaves Radiologo CspPRDiagnostic Radiology Physician$0$2.9M
    Lydia Irizarry GonzalezPRPediatric Endocrinology Physician$0$2.6M

    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
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Carlos Remedios-carbone — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico