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.

Ada Colon-gavillan (NPI 1215265202)

Ada Colon-gavillan is a physical therapy clinic/center provider located in Carolina, Puerto Rico. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Ada Colon-gavillan
Address	Villa Carolina
City	Carolina
State	PR
ZIP	00985
Taxonomy	Physical Therapy Clinic/Center
NPI Enumerated	December 2, 2009

Payer Source	Total Paid
Medicaid	$1.4M
Medicare	$0

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
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	20,820	$20	$374.8K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	19,430	$20	$291.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	15,920	$20	$238.8K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	16,190	$10	$194.2K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	2,100	$50	$111.1K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	3,440	$20	$75.6K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	15,400	$1	$46.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	1,730	$20	$36.3K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	810	$30	$25.8K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	210	$20	$3.2K

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

Ada Colon-gavillan — 5 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
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	4	180	2,150	$20	$95.2K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	9	160	3,960	$20	$89.7K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	42	110	2,080	$20	$72.3K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	6	130	3,370	$10	$64.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	25	70	950	$20	$60.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2	80	1,220	$20	$51K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	6	70	510	$60	$44.8K
97799	Use 97799 to report procedures related to physical medicine or rehabilitation services that do not have a specific code.	26	40	870	$10	$27.4K
97010	The provider, such as physical therapist, applies a hot or cold pack to a specific body site to treat an injury or disease.	2	50	1,850	$10	$24.1K
97164	The provider, typically a physical therapist, conducts a physical therapy re–evaluation that includes history review and standardized tests and measures to assess body structure and function; she…	13	50	320	$40	$20.6K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Piel, Inc	PR	Optometrist	$0	$3.2M
Clinical Medical Services Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Health Laboratories Services Inc	PR	Clinical Medical Laboratory	$28.3K	$2.3M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Rivera-revilla Lab LLC	PR	Clinical Medical Laboratory	$4K	$1.3M
Centro Radiodiagnostico Carolina	PR	Diagnostic Radiology Physician	$0	$1.2M
Family Medicine Group Inc.	PR	Adult Medicine Physician	$0	$1.1M
Juan Ledoux	PR	General Practice Dentistry	$0	$968K
Milab LLC	PR	Clinical Medical Laboratory	$1.9K	$889.3K
Inspira Behavioral Care Corp.	PR	Adult Mental Health Clinic/Center	$0	$789.3K

Ada Colon-gavillan — Billing Profile & Reimbursement Data

Sign up for Ada Colon-gavillan — Billing Profile & Reimbursement Data policy alerts

Ada Colon-gavillan — Billing Profile & Reimbursement Data

Sign up for Ada Colon-gavillan — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References