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.

Armando Figueroa (NPI 1194725655)

Field	Value
Entity Type	Individual
Organization	Armando Figueroa
Address	1 Carr 155 # Km66.1
City	Vega Baja
State	PR
ZIP	00693
Taxonomy	General Practice Dentistry
NPI Enumerated	July 27, 2005

Payer Source	Total Paid
Medicaid	$657.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	6,790	$30	$190.1K
D0330	N/A	3,880	$30	$112.6K
D1999	N/A	6,330	$10	$88.6K
D0150	Comprehensive oral evaluation – new or established patient	4,020	$20	$84.4K
D0272	N/A	5,710	$10	$79.9K
D0120	Periodic oral evaluation - established patient	4,930	$10	$69K
D1208	Topical application of fluoride - excluding varnish	1,540	$10	$21.5K
D0220	Intraoral - periapical first radiographic image	640	$10	$3.9K
D1120	Prophylaxis–child	180	$20	$2.8K
D0140	Limited oral evaluation – problem focused	190	$10	$2.6K

Showing 1–10 of 11

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

Armando Figueroa — 4 of 11 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	44	990	1,060	$30	$53.1K
D1999	N/A	83	950	1,350	$10	$35.1K
D0330	N/A	20	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	87	940	880	$10	$24.2K
D0272	N/A	38	880	710	$10	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	303	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	24	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	191	810	500	$10	$16K
D1120	Prophylaxis–child	398	690	260	$20	$14.5K
D0220	Intraoral - periapical first radiographic image	228	670	260	$10	$5.5K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P.r. Clinical Reference Laboratory Inc	PR	Clinical Medical Laboratory	$19.4K	$3.7M
Laboratorio Clinico Del Mar LLC	PR	Clinical Medical Laboratory	$24.6K	$2.6M
Vega Baja Imaging LLC	PR	Diagnostic Radiology Physician	$0	$2M
Mini S Steps Csp	PR	Speech-Language Pathologist	$0	$1.6M
Vega Baja Radiology Psc	PR	Diagnostic Radiology Physician	$0	$1.5M
Maria Umpierre Marchand	PR	Dentist	$0	$1.3M
Prime Family Clinic LLC	PR	Primary Care Clinic/Center	$0	$1.2M
Laboratorio Clinico Figueroa P S C	PR	Clinical Medical Laboratory	$170	$826.4K
Prymed Medical Care Inc	PR	Clinical Medical Laboratory	$0	$817.9K
Prymed Medical Care, Inc	PR	Multi-Specialty Clinic/Center	$0	$785.5K

Armando Figueroa — Billing Profile & Reimbursement Data

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Armando Figueroa — 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