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    OpenPayerNPI Medicare & MedicaidJorge Rodriguez Lugo
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    Jorge Rodriguez Lugo — Billing Profile & Reimbursement Data

    NPI 1215031547 · Ponce, PR · Hematology & Oncology Physician

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    Jorge Rodriguez Lugo is a hematology & oncology physician provider located in Ponce, Puerto Rico. This profile covers 4 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJorge Rodriguez Lugo
    AddressTorre Med San Lucas
    CityPonce
    StatePR
    ZIP00716
    TaxonomyHematology & Oncology Physician
    NPI EnumeratedSeptember 8, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$55.8K
    Medicare$8.2K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…220$20$5K
    99213The 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…40$70$2.9K
    J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)190$1$190
    J1100Injection, dexamethasone sodium phosphate, 1 mg1,940$0$0

    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

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96367210170$20$6.6K
    992138761,53050$60$4.2K
    J704011050$1$90
    J1100210160$1$60

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q0084Chemotherapy administration by infusion technique only, per visit290$80$24.2K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…210$70$13.8K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…130$70$9.1K
    99213The 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…150$30$5K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…150$10$2.1K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.220$10$1.1K
    J2405Injection, ondansetron hydrochloride, per 1 mg220$1$220
    J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)60$1$130

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q0084Chemotherapy administration by infusion technique only, per visit5170900$80$219.9K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…5070750$80$138K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…4260360$80$94K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…3550520$50$82.4K
    99213The 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…1,9633,230330$10$42.4K
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.1130100$10$5.4K
    J2405Injection, ondansetron hydrochloride, per 1 mg2540410$1$5.2K
    J7040Infusion, normal saline solution, sterile (500 ml = 1 unit)810100$1$240

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Cancer Group PscPROncology Clinic/Center$0$898.2K

    Nearby Providers

    Other providers in the same ZIP code as Jorge Rodriguez Lugo, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Pathology Services, Inc.PRClinical Medical Laboratory$6.2K$5.7M
    Tiber Health, Public Benefit CorporationPRMulti-Specialty Clinic/Center$0$5.1M
    Pediatrix Medical Group, S.p.PRNeonatal-Perinatal Medicine Physician$0$3.8M
    Med Centro, Inc.PRClinical Medical Laboratory$0$3.6M
    Ida Y Vuelta, Inc.PRNon-emergency Medical Transport (VAN)$0$3.3M
    St Lukes Episcopal Church Home Care ProgramPRCommunity Based Hospice Care Agency$0$2.9M
    Saint Lukes Memorial Hospital IncPRGeneral Acute Care Hospital$0$2.5M
    Med Centro, Inc.PRFederally Qualified Health Center (FQHC)$0$2.3M
    St Lukes Episcopal Church Home Care ProgramPRHome Health Agency$0$2.2M
    Medical X Ray Center PoncePRRadiology Clinic/Center$0$2.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Jorge Rodriguez Lugo — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Jorge Rodriguez Lugo — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico