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.

Rafael Rodriguez-werner (NPI 1194712281)

Field	Value
Entity Type	Individual
Organization	Rafael Rodriguez-werner
Address	Reparto Alhambra D95 Ave. Los Millones
City	Bayamon
State	PR
ZIP	00959
Taxonomy	Dentist
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$785.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,020	$30	$168.6K
D1999	N/A	8,470	$10	$118.5K
D0330	N/A	2,830	$30	$84.9K
D2150	Amalgam - two surfaces, primary or permanent	1,870	$40	$75K
D0272	N/A	4,870	$10	$68.1K
D0150	Comprehensive oral evaluation – new or established patient	3,270	$20	$65.4K
D0120	Periodic oral evaluation - established patient	3,990	$20	$59.9K
D1208	Topical application of fluoride - excluding varnish	2,580	$10	$36.2K
D2140	Amalgam - one surface, primary or permanent	820	$30	$26.1K
D2160	Amalgam - three surfaces, primary or permanent	420	$50	$20.4K

Showing 1–10 of 17

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

Rafael Rodriguez-werner — 2 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	60	990	1,060	$30	$53.1K
D1999	N/A	46	950	1,350	$10	$35.1K
D0330	N/A	42	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	127	940	880	$10	$24.2K
D0272	N/A	55	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	43	550	210	$40	$20.7K
D1351	Sealant - per tooth	86	160	440	$10	$19K
D0150	Comprehensive oral evaluation – new or established patient	38	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	99	810	500	$10	$16K
D1120	Prophylaxis–child	147	690	260	$20	$14.5K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Rafael Rodriguez-werner, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ct Radiology Complex, LLC	PR	Diagnostic Radiology Physician	$0	$6.2M
Ruben Diaz - Rodriguez	PR	Pediatric Cardiology Physician	$0	$3.9M
Pk Industries Corp	PR	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Doctors Center Hospital Bayamon Inc	PR	General Acute Care Hospital	$0	$3.1M
Laboratorios Clinico Bayamon Inc	PR	Clinical Medical Laboratory	$14K	$2.5M
Bayamon Medical Center Corp	PR	General Acute Care Hospital	$0	$2.3M
New Vision Medical Diagnostics Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Centro De Patologia Avanzada De Pr Csp	PR	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
Vitreo Retinal Consultants, Psc	PR	Specialist	$0	$1.5M
Stereotactic Breast Center Psc	PR	Ambulatory Surgical Clinic/Center	$0	$1.3M

Rafael Rodriguez-werner — Billing Profile & Reimbursement Data

Sign up for Rafael Rodriguez-werner — Billing Profile & Reimbursement Data policy alerts

Rafael Rodriguez-werner — Billing Profile & Reimbursement Data

Sign up for Rafael Rodriguez-werner — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References