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.

Best Option Healthcare Puerto Rico LLC (NPI 1235610908)

Field	Value
Entity Type	Organization
Organization	Best Option Healthcare Puerto Rico LLC
Address	355 De Diego Ave Ste 101
City	San Juan
State	PR
ZIP	00909
Taxonomy	Home Health Agency
NPI Enumerated	August 22, 2018

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9131	Physical therapy; in the home, per diem	12,620	$60	$694.2K
T1030	Nursing care, in the home, by registered nurse, per diem	7,000	$50	$342.8K
S9129	Occupational therapy, in the home, per diem	1,000	$50	$54K
T1001	Nursing assessment / evaluation	50	$70	$3.6K

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

Best Option Healthcare Puerto Rico LLC — 0 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9131	Physical therapy; in the home, per diem	3	20	1,300	$70	$296.3K
T1030	Nursing care, in the home, by registered nurse, per diem	3	30	1,360	$80	$228.4K
T1001	Nursing assessment / evaluation	20	20	650	$60	$178.3K
S9129	Occupational therapy, in the home, per diem	2	10	370	$70	$35.5K

Nearby Providers

Other providers in the same ZIP code as Best Option Healthcare Puerto Rico LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Best Option Healthcare Puerto Rico LLC	PR	Home Infusion Therapy Pharmacy	$0	$41.5M
Vita Healthcare Inc	PR	Home Health Agency	$0	$9.4M
Eladio Perez Cruz	PR	Gastroenterology Physician	$2.1K	$2.5M
Felix Lugo-adams	PR	Interventional Cardiology Physician	$3.7K	$1.9M
Farmacia San Rafael Santurce, Inc	PR	Community/Retail Pharmacy	$0	$1.5M
Lauren Lynch	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
St Gianna Pediatrics	PR	Pediatrics Physician	$0	$1.3M
Jaime Ruiz-rodriguez	PR	Cardiovascular Disease Physician	$17.7K	$1.2M
Empresas Alvaro Torres	PR	Speech-Language Pathologist	$0	$1.1M
Ag Thyroid & Endocrine Clinic LLC	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$983.2K

Best Option Healthcare Puerto Rico LLC — Billing Profile & Reimbursement Data

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Best Option Healthcare Puerto Rico LLC — 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