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.

Miguel Frontera-philippi (NPI 1225134125)

Field	Value
Entity Type	Individual
Organization	Miguel Frontera-philippi
Address	1356 Ave Felix Aldarondo Santiago
City	Isabela
State	PR
ZIP	00662
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	September 16, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	4,150	$180	$734.9K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	4,100	$90	$364.6K
D9223	N/A	1,780	$180	$325.9K
D0160	N/A	4,020	$40	$148.6K
D0330	N/A	2,050	$30	$65.5K
D1999	N/A	3,180	$10	$44.5K
D9222	N/A	100	$120	$11.7K
99203	The provider sees a new 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 provider…	20	$60	$1.1K

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

Miguel Frontera-philippi — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	6	30	980	$170	$378.3K
D9223	N/A	7	40	120	$110	$98.2K
D9222	N/A	19	30	300	$110	$97.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	8	100	150	$80	$83K
D0160	N/A	10	60	330	$40	$60.4K
D1999	N/A	252	950	1,350	$10	$35.1K
99203	The provider sees a new 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 provider…	1,231	1,400	160	$50	$29.6K
D0330	N/A	73	540	370	$30	$25.3K

Nearby Providers

Other providers in the same ZIP code as Miguel Frontera-philippi, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Isaac Calero	PR	Dentist	$0	$1.3M
B.m.laboratory,inc.	PR	Clinical Medical Laboratory	$760	$1.1M
J&adentalpsc	PR	Dentist	$0	$1.1M
Municipio De Isabela	PR	Urgent Care Clinic/Center	$0	$806.3K
Jose Bachier	PR	General Practice Dentistry	$0	$737.4K
Julia Juarbe	PR	General Practice Dentistry	$0	$621.6K
Laboratorio Cardona Lamela, Inc.	PR	Clinical Medical Laboratory	$13.8K	$472.6K
Yarsellis Frometa Delgado	PR	Certified Registered Nurse Anesthetist	$7.3K	$0

Miguel Frontera-philippi — Billing Profile & Reimbursement Data

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Miguel Frontera-philippi — 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