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.

Caribe Physicians Plaza Corporation (NPI 1215051404)

Field	Value
Entity Type	Organization
Organization	Caribe Physicians Plaza Corporation
Address	151 Ave Osvaldo Molina
City	Fajardo
State	PR
ZIP	00738
Taxonomy	General Acute Care Hospital
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	3,790	$50	$197.2K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3,130	$50	$147K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	4,370	$30	$135.3K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	2,490	$50	$124.7K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	4,240	$30	$114.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	14,570	$10	$87.4K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	3,050	$30	$76.2K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,650	$20	$58.3K
0012A	N/A	3,210	$20	$54.6K
0002A	N/A	1,970	$20	$45.4K

Showing 1–10 of 53

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

Caribe Physicians Plaza Corporation — 6 of 25 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	23	80	900	$110	$242K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	15	70	730	$110	$178.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	31	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	30	180	890	$70	$145.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	26	80	1,150	$50	$125.5K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	126	130	480	$90	$109.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	315	390	290	$80	$96.8K
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.	140	340	210	$70	$81.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	87	500	220	$40	$79.5K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	10	230	510	$60	$61K

Showing 1–10 of 53

Related Providers

Other providers that share a Tax Identification Number (TIN) with Caribe Physicians Plaza Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro De Diagnostico Y Tratamiento De Rio Grande	PR	Emergency Care Clinic/Center	$0	$4.7M
Nelson Matos Ruiz	GA	Diagnostic Radiology Physician	$47.4K	$0
Josue Vazquez Delgado	PR	Diagnostic Radiology Physician	$26.4K	$0
Carlos Mendez-buso	PR	Diagnostic Radiology Physician	$19.7K	$0
Ricardo De Jesus Gomez	PR	Diagnostic Radiology Physician	$19.6K	$0
Pedro Diaz Ortiz	PR	Neuroradiology Physician	$13.7K	$0
Rafael Vicens Rodriguez	PR	Body Imaging Physician	$10.9K	$0
Wilmarie Rivera Hernandez	PR	Diagnostic Radiology Physician	$5.2K	$0

Nearby Providers

Other providers in the same ZIP code as Caribe Physicians Plaza Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Y De Ref De Fajardo Inc	PR	Clinical Medical Laboratory	$26.2K	$2.8M
Servicios Medicos Integrados De Fajardo, P.s.c.	PR	General Practice Physician	$0	$2.8M
Centro C.i.e.h.l.o.inc.	PR	Hearing and Speech Clinic/Center	$0	$1.6M
Jrc Maxillofacial Services,psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.5M
Fajardo Imaging Inc	PR	Magnetic Resonance Imaging (MRI) Clinic/Center	$0	$1.2M
Continuum Mental Care Corp	PR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$972.3K
Jose J Lopez Agudo Oftalmologo Csp	PR	Ophthalmology Physician	$0	$763.5K
Laboratorio Clinico Fajardo, Inc.	PR	Clinical Medical Laboratory	$19.6K	$691K
Luis Arraut-ramirez	PR	Internal Medicine Physician	$0	$651.3K
Costa Este Medical Services Corp	PR	Health Maintenance Organization	$0	$637.5K

Caribe Physicians Plaza Corporation — Billing Profile & Reimbursement Data

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Caribe Physicians Plaza Corporation — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References