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.

Sandra Figueroa (NPI 1215925904)

Field	Value
Entity Type	Individual
Organization	Sandra Figueroa
Address	Calle Angel G. Martinez 35
City	Sabana Grande
State	PR
ZIP	00637
Taxonomy	General Practice Physician
NPI Enumerated	October 7, 2005

Payer Source	Total Paid
Medicare	$7.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	100	$50	$5.5K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	20	$40	$860
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$40	$700
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	30	$10	$270
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	20	$20	$240
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	10	$10	$110
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$1	$60

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Sandra Figueroa — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	270	1,530	50	$60	$4.2K
99212	131	160	30	$40	$1.8K
87811	3	10	20	$40	$1.4K
36415	315	380	70	$10	$1.2K
85025	355	360	60	$10	$1.1K
87804	29	30	30	$20	$650
81003	4	10	30	$1	$410

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elbowoods Memorial Health Center	ND	Clinic/Center	$0	$9.3M
Elbowoods Memorial Health Center	ND	Dentist	$0	$730.2K
Valentine Chikwendu	ND	Cardiovascular Disease Physician	$167.3K	$0
Farzodd Hanjani	ND	Diagnostic Radiology Physician	$137.4K	$0
Thompson Kamba	ND	Diagnostic Radiology Physician	$122.5K	$0
Judy Humphreys	FL	Family Nurse Practitioner	$118K	$0
Leszek Jaszczak	ND	Diagnostic Radiology Physician	$76.6K	$0
Scott Lewis	ND	Diagnostic Radiology Physician	$62.5K	$0
James Miller	ND	Diagnostic Radiology Physician	$59.4K	$0
Robert Heninger	ND	Diagnostic Radiology Physician	$47.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rodolfo Ramirez Carrero	PR	Specialist	$0	$1.4M
Wilkins Feliciano Acevedo	PR	Physical Therapist	$17.8K	$698.9K
Dentistas Asociados De Puerto Rico	PR	Prosthodontics	$0	$617.2K
Luis Pacheco Oliveras	PR	General Practice Physician	$0	$1.5K

Sandra Figueroa — Billing Profile & Reimbursement Data

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Sandra Figueroa — 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