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    OpenPayerNPI Medicare & MedicaidMiguel Echevarria
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    Miguel Echevarria — Billing Profile & Reimbursement Data

    NPI 1174839179 · San Juan, PR · Diagnostic Radiology Physician

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    Miguel Echevarria is a diagnostic radiology physician provider located in San Juan, Puerto Rico. This profile covers 27 Medicare and 0 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
    OrganizationMiguel Echevarria
    AddressCentro Medico De Puerto Rico
    CitySan Juan
    StatePR
    ZIP00935
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedAugust 27, 2010

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

    Payer SourceTotal Paid
    Medicare$109.2K
    Medicaid$0

    Key Findings

    This provider is a Diagnostic Radiology Physician whose Medicare activity is heavily MRI‑focused, with major revenue coming from musculoskeletal and spinal MRI procedures. Key revenue-generating codes include 73721 ($26.1K revenue, 511 claims, $51 avg paid/claim), 72148 ($20.5K revenue, 360 claims, $57 avg paid/claim), and 73221 ($18K revenue, 347 claims, $52 avg paid/claim); the overall mix also includes CT and vascular duplex codes (for example 74178 and 93880), indicating a service line centered on cross-sectional and vascular diagnostic imaging for outpatients and orthopedic referrals.

    Medicare revenue totals $109.2K and the top three Medicare codes account for 59.3% of that total. Those three leaders — 73721 (23.9% of Medicare revenue), 72148 (18.8%), and 73221 (16.6%) — indicate significant revenue concentration in a small set of MRI services rather than a broadly diversified diagnostic portfolio.

    Payer mix is effectively single‑payer in the public data: this provider reports $109.2K in lifetime Medicare revenue and has no Medicaid billing on file. The absence of Medicaid activity means analysts and contract teams should treat the visible public-payer footprint as concentrated in Medicare when evaluating network impact or reimbursement exposure.

    On competitive standing, the provider ranks at national high percentiles for several MRI procedures: 73721 ranks #70 of 9329 providers (99th percentile; labeled an "extreme outlier"), 73221 ranks #85 of 7875 (99th percentile; "extreme outlier"), and 72148 ranks #481 of 14990 (97th percentile; "notably above typical" national volume). These rankings show the provider performs substantially higher volumes of specific MRI exams than most peers, making them a major national outlier for those services.

    Operational volumes are concentrated: 511 claims for 73721, 360 claims for 72148, and 347 claims for 73221, with average payments of $51, $57, and $52 per claim respectively. This pattern suggests a high-throughput practice model for a few specialized MRI studies rather than evenly distributed diagnostic activity across many code families.

    The provider’s NPI was enumerated on 2010-08-27 (~16 years ago), indicating a long-standing presence in Medicare data. That tenure supports interpreting these high volumes as established practice patterns rather than short-term anomalies, which is relevant for credentialing, contracting, and utilization trend analyses.

    Several codes flagged as 'extreme outlier' or 'notably above typical' — notably 73721 ($26.1K revenue, extreme outlier) and 73221 ($18K revenue, extreme outlier) — represent clear points for focused comparative review in utilization management or payer contracting. Because these outlying codes also drive a large share of revenue, they warrant attention when modeling future reimbursement risk or negotiating service-line arrangements.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.510$50$26.1K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.360$60$20.5K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…350$50$18K
    72141In this diagnostic procedure, the provider performs a magnetic resonance imaging (MRI) study of the cervical spinal canal and contents without using contrast material.110$60$6.2K
    73718In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.100$50$5.5K
    72158In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents first without using contrast and again after injecting contrast material.50$100$4.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…100$40$3.8K
    73720In this diagnostic procedure, the provider performs magnetic resonance imaging imaging of a patient’s lower extremity for other than a joint without contrast material initially, and then after…50$80$3.6K
    73700In this procedure, the provider performs a computed tomography scan of a patient’s lower extremity without using contrast material to diagnose a fracture or disease of the lower extremity.90$40$3.4K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…30$130$3.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7219741020$130$5.4K
    7215811050$100$4.6K
    7322111020$80$4.3K
    7417832020$210$4.2K
    7372113020$90$3.9K
    7214814020$110$3.7K
    7372011050$80$3.6K
    7371811060$50$3.1K
    9388019020$120$2.8K
    7214111020$100$2.6K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Miguel Echevarria, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert McdonaldAZDiagnostic Radiology Physician$7.5M$0
    Ronald GoodwichFLNuclear Medicine Physician$5.7M$0
    Paul MakhloufFLNuclear Medicine Physician$4.2M$0
    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
    Yamil Fourzali SabbagFLNuclear Medicine Physician$2.4M$0
    Eduardo Perez RodriguezPROphthalmology Physician$21.7K$2.3M
    Medina KushenFLNuclear Medicine Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPRMaternal & Fetal Medicine Physician$0$2.7M
    Ernesto BorreroPRNeurology Physician$3K$117K
    Edgardo Martinez MoralesPRPhysical Medicine & Rehabilitation Physician$16.9K$25K
    Jose Rivera VallesPRInternal Medicine Physician$15.9K$25.8K
    Alexander RiosPREmergency Medicine Physician$35.1K$0
    Gabriel Galindez De JesusPRInfectious Disease Physician$16.9K$9K
    Alejandro Quilichini OliverPRCardiovascular Disease Physician$16.1K$0
    Jose Abreu ArbeloPRHematology & Oncology Physician$15.2K$0
    Jose Lara Del RioPRBody Imaging Physician$8.1K$0

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Miguel Echevarria — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico