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.

Tiber Health, Public Benefit Corporation (NPI 1184139602)

Field	Value
Entity Type	Organization
Organization	Tiber Health, Public Benefit Corporation
Address	Urb. Industrial Reparada 2
City	Ponce
State	PR
ZIP	00716
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	December 6, 2017

Payer Source	Total Paid
Medicaid	$5.1M
Medicare	$0

Key Findings

This provider is effectively a single-payer Medicaid operation: there is no Medicare billing on file and lifetime Medicaid revenue is $5.1M. The absence of Medicare activity despite an NPI enumerated on 2017-12-06 (~9 years ago) indicates the organization’s patient mix and contract footprint are concentrated in Medicaid rather than Medicare populations.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes drive a precomputed 44.3% of total Medicaid revenue, led by 90837 ($802.8K revenue, 15.8%), 99212 ($802.2K revenue, 15.8%), and 99441 ($649.4K revenue, 12.8%). This level of concentration suggests financial performance is sensitive to utilization of a few high-volume service lines.

The code mix signals a behavioral health–oriented multi-specialty clinic: psychotherapy codes (90837, 90832, 90834, 90853, 90833) and psychiatric evaluation codes (90791, 90792) are among the top revenue drivers, while office E/M codes (99212, 99214) also appear prominently. Together these codes indicate routine outpatient mental health services—individual and group psychotherapy plus diagnostic evaluations—form the core of the provider’s clinical offering.

Telephone and brief-contact services are a major component of volume and revenue: 98968 reports 15K claims and $629.9K revenue (12.4%) and is ranked #1 of 29 providers in-state (100th percentile; extreme outlier), and 99441/99442/99443 together account for large claim counts and material revenue ($649.4K, $425.4K, $263.4K respectively). High utilization of these codes suggests the provider operates substantial telephonic or brief-contact care capacity in parallel with in-person psychotherapy.

The provider shows clear statewide dominance for several specific codes: 90837 ranks #2 of 323 providers (100th percentile; extreme outlier) and 98968 ranks #1 of 29 (100th percentile; extreme outlier), while 0002A ranks #3 of 161 (99th percentile; extreme outlier). For other common outpatient codes the provider is a strong but not singular participant—for example, 99212 ranks #34 of 839 (96th percentile) and 99441 ranks #28 of 482 (94th percentile), indicating market leadership in certain behavioral health and program-specific services but more typical volumes for routine E/M.

Group-based services are a meaningful revenue stream: 90853 (group psychotherapy) generated $342.3K (6.7% of Medicaid revenue) and ranks #3 of 43 providers in-state (95th percentile). The combination of high-volume group sessions and individual psychotherapy points to a mixed delivery model that leverages both group and individual visits to scale behavioral health throughput.

Several relatively high-revenue codes lack public descriptions in this dataset but appear to be material contributors and are statistically notable: 0002A ($115.3K, rank #3 of 161, 99th percentile), 0001A ($97.7K, rank #4 of 160, 98th percentile), and 0004A ($36.2K, rank #8 of 91, 92nd percentile). Their high ranks suggest program-specific or standardized services beyond core psychotherapy that materially support the provider’s Medicaid revenue base.

The provider’s tenure (NPI enumerated 2017-12-06, ~9 years ago) combined with $5.1M in Medicaid receipts and multiple extreme outlier code rankings implies an established operation with specialized strength in behavioral health and high-volume telephonic or brief-contact services, rather than a newly entered or marginal Medicaid participant. Lack of Medicare billing persists despite that tenure, reinforcing a focused Medicaid strategy or payer panel.

Medicaid: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10,290	$80	$802.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	23,590	$30	$802.2K
99441	N/A	15,460	$40	$649.4K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	15,000	$40	$629.9K
99442	N/A	8,030	$50	$425.4K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	7,280	$50	$342.3K
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…	3,070	$110	$335K
99443	N/A	3,710	$70	$263.4K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,650	$30	$226K
0002A	N/A	5,240	$20	$115.3K

Showing 1–10 of 39

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

Tiber Health, Public Benefit Corporation — 9 of 25 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

39 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	The provider sees an established 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…	165	280	210	$30	$43.8K
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…	95	900	360	$30	$42.5K
99213	The 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…	1,564	3,230	330	$10	$42.4K
99203	The provider sees a new 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 provider…	619	1,400	160	$50	$29.6K
98968	A nonphysician qualified healthcare professional discusses, via telephone, a health issue and possible treatment or management with an established patient, parent, or guardian. This service includes…	1	30	150	$10	$24.3K
0002A	N/A	3	160	310	$30	$23.3K
0001A	N/A	4	160	370	$30	$20.7K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	26	320	470	$10	$20K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	34	840	340	$1	$16.7K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	30	90	170	$10	$15.1K

Showing 1–10 of 39

Nearby Providers

Other providers in the same ZIP code as Tiber Health, Public Benefit Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Pathology Services, Inc.	PR	Clinical Medical Laboratory	$6.2K	$5.7M
Pediatrix Medical Group, S.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$3.8M
Med Centro, Inc.	PR	Clinical Medical Laboratory	$0	$3.6M
Ida Y Vuelta, Inc.	PR	Non-emergency Medical Transport (VAN)	$0	$3.3M
St Lukes Episcopal Church Home Care Program	PR	Community Based Hospice Care Agency	$0	$2.9M
Saint Lukes Memorial Hospital Inc	PR	General Acute Care Hospital	$0	$2.5M
Med Centro, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$2.3M
St Lukes Episcopal Church Home Care Program	PR	Home Health Agency	$0	$2.2M
Medical X Ray Center Ponce	PR	Radiology Clinic/Center	$0	$2.1M
Invasive Gastro-intestinal Medical Service Psc	PR	Medical Specialty Clinic/Center	$0	$2.1M

Tiber Health, Public Benefit Corporation — Billing Profile & Reimbursement Data

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Tiber Health, Public Benefit Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References