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.

Yamilette Rivera Rivera (NPI 1205328341)

Field	Value
Entity Type	Individual
Organization	Yamilette Rivera Rivera
Address	Centro Medico Barrio Monacillos
City	San Juan
State	PR
ZIP	00936
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 5, 2018

Payer Source	Total Paid
Medicare	$25K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	130	$130	$16.6K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	30	$160	$4.5K
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.	40	$90	$3.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	120	$10	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Yamilette Rivera Rivera — 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. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	29	70	100	$140	$16.4K
99291	44	70	40	$170	$9K
99284	62	130	40	$90	$4.7K
93010	9	160	20	$10	$240

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Marsh	LA	Emergency Medicine Physician	$67K	$0
Daniel Baquet	NC	Emergency Medicine Physician	$41.2K	$0
Benjamin Holland	MO	Emergency Medicine Physician	$38.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Municipality Of San Juan	PR	Multi-Specialty Clinic/Center	$0	$4.5M
Ffv Id Med Group Psc	PR	Infectious Disease Physician	$0	$3M
Omayra Gonzalez	PR	Hematology & Oncology Physician	$2.9K	$1.6M
Michelle Gomez Cruz	PR	Pediatric Endocrinology Physician	$0	$1.2M
Cardiovascular Anesthesia De Puerto Rico, Psc	PR	Anesthesiology Physician	$0	$1.1M
Recinto De Ciencias Medicas	PR	Dermatology Physician	$0	$1.1M
Recinto De Ciencias Medicas	PR	Otolaryngology/Facial Plastic Surgery Physician	$0	$881.7K
Recinto De Ciencias Medicas	PR	Cardiovascular Disease Physician	$0	$842.2K
Recinto De Ciencias Medicas	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$693.7K
Juan Aviles	PR	Internal Medicine Physician	$15K	$276.9K

Yamilette Rivera Rivera — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References