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.

Arelys Badillo (NPI 1164651436)

Field	Value
Entity Type	Individual
Organization	Arelys Badillo
Address	Carretera 111 Km 6.3
City	Moca
State	PR
ZIP	00676
Taxonomy	Speech-Language Pathologist
NPI Enumerated	July 8, 2009

Payer Source	Total Paid
Medicaid	$902.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	19,180	$50	$901.4K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	160	$10	$800

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

Arelys Badillo — 0 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	23	30	1,520	$50	$509.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	16	140	2,620	$50	$505.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dxr Solutions LLC	PR	Radiology Clinic/Center	$0	$2.8M
Lab Lorimar LLC	PR	Multi-Specialty Clinic/Center	$9.3K	$2.6M
Nicole Rivera-perez	PR	Infectious Disease Physician	$13K	$1.4M
Laboratorio Clinico Jezer	PR	Clinical Medical Laboratory	$0	$886.9K
Laboratorio Clinico Cuba, LLC	PR	Clinical Medical Laboratory	$1.5K	$766K
Rocio Rodriguez	PR	Optometrist	$0	$758.3K
Amarilys Vargas Cordero	PR	Occupational Therapist	$0	$716.8K
Terapia Fisica Movimiento Es Vida	PR	Physical Therapy Clinic/Center	$0	$700.5K
Carlos Nieves Mendez	PR	Dentist	$0	$669.7K
Laboratorio Clinico Capa Inc	PR	Clinical Medical Laboratory	$510	$608.1K

Arelys Badillo — Billing Profile & Reimbursement Data

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Arelys Badillo — 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