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.

Southern Hospital Services Inc (NPI 1164881140)

Field	Value
Entity Type	Organization
Organization	Southern Hospital Services Inc
Address	Carr 153 Esq 52
City	Santa Isabel
State	PR
ZIP	00757
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	February 18, 2016

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	25,170	$50	$1.4M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	120	$50	$6.4K
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…	190	$10	$2.1K
J0690	Injection, cefazolin sodium, 500 mg	20	$1	$20
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	370	$0	$0
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	560	$0	$0
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.	180	$0	$0

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

Southern Hospital Services Inc — 0 of 4 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	4	50	1,520	$40	$206K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	43	60	240	$100	$147.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	475	650	1,260	$40	$93.7K
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.	179	340	210	$70	$81.7K
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…	531	900	360	$30	$42.5K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	151	320	510	$10	$19.5K
J0690	Injection, cefazolin sodium, 500 mg	5	10	70	$1	$20

Nearby Providers

Other providers in the same ZIP code as Southern Hospital Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro De Hematologia Y Oncologia Del Sur, Csp	PR	Oncology Clinic/Center	$0	$6.2M
Municipio De Santa Isabel	PR	Emergency Care Clinic/Center	$0	$1.9M
San Blas Health Care Inc	PR	Clinical Medical Laboratory	$0	$1.4M
Alba I. Rivera Torres	PR	Clinical Medical Laboratory	$3.8K	$1.1M
Jaime Ongay Rullan	PR	General Practice Physician	$0	$952.9K
Servicios Fisiatricos Raber	PR	Physical Medicine & Rehabilitation Physician	$0	$804K
Celiade Lourdes Feliciano	PR	Optometrist	$0	$634.1K
Cristobal Rivera Ramos	PR	Internal Medicine Physician	$19.1K	$19.7K
Silfredo Silvestrini	PR	Foot & Ankle Surgery Podiatrist	$3.1K	$9.5K
Julio Peguero Rivera	PR	Surgical Critical Care Physician	$1.1K	$0

Southern Hospital Services Inc — Billing Profile & Reimbursement Data

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Southern Hospital Services 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

Nearby Providers

Frequently Asked Questions

References