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.

Instituto Medico Familiar Inc (NPI 1205948817)

Field	Value
Entity Type	Organization
Organization	Instituto Medico Familiar Inc
Address	58 Calle Corchado
City	Canovanas
State	PR
ZIP	00729
Taxonomy	Legal Medicine
NPI Enumerated	August 31, 2006

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9097	Home visit for wound care	15,360	$50	$752.6K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	2,620	$60	$143.8K
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…	90,920	$1	$90.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,200	$30	$72.6K
T1002	Rn services, up to 15 minutes	1,460	$30	$40.9K
99337	N/A	2,520	$10	$12.6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	7,300	$1	$7.3K
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	910	$10	$7.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	5,740	$1	$5.7K
T1030	Nursing care, in the home, by registered nurse, per diem	70	$70	$4.9K

Showing 1–10 of 62

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

Instituto Medico Familiar Inc — 5 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9097	Home visit for wound care	4	20	4,150	$70	$761.3K
T1030	Nursing care, in the home, by registered nurse, per diem	20	30	1,360	$80	$228.4K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	5	10	2,630	$60	$154.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	22	60	240	$100	$147.6K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	52	90	1,090	$10	$47K
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…	31	3,230	330	$10	$42.4K
0002A	N/A	114	160	310	$30	$23.3K
99204	The provider sees a new 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 provider…	504	530	100	$70	$22.9K
T1002	Rn services, up to 15 minutes	1	10	470	$30	$21K
0001A	N/A	114	160	370	$30	$20.7K

Showing 1–10 of 62

Nearby Providers

Other providers in the same ZIP code as Instituto Medico Familiar Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medina Medical Transport Ems Corp.	PR	Ambulance	$158K	$2.6M
Laboratorio Clinico Canovanas Inc	PR	Clinical Medical Laboratory	$0	$991.3K
Laboratorio Clinico Loiza Valley Inc.	PR	Clinical Medical Laboratory	$6K	$967.7K
Canovanas Medical Center Csp	PR	Emergency Care Clinic/Center	$0	$928.6K
Vanessa Alvarado Gonzalez	PR	General Practice Physician	$0	$811.2K
Rs Therapy Group, Inc.	PR	Physical Therapy Clinic/Center	$0	$769.5K
Laboratorio Clinico Chegar Inc	PR	Clinical Medical Laboratory	$2.3K	$765.3K
Cdt De Canovanas	PR	Emergency Care Clinic/Center	$0	$725K
Loiza Valley Mr & Ct Center	PR	Diagnostic Radiology Physician	$0	$650.3K
Fernando Lopez Rodriguez	PR	Neuroradiology Physician	$41.6K	$37.6K

Instituto Medico Familiar Inc — Billing Profile & Reimbursement Data

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Instituto Medico Familiar Inc — 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