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    OpenPayerNPI Medicare & MedicaidGil Cortes
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    Gil Cortes — Billing Profile & Reimbursement Data

    NPI 1245320308 · Aguadilla, PR · Dermatology Physician

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    Gil Cortes is a dermatology physician provider located in Aguadilla, Puerto Rico. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGil Cortes
    AddressAve Severiano Cuevas
    CityAguadilla
    StatePR
    ZIP00603
    TaxonomyDermatology Physician
    NPI EnumeratedOctober 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$198.2K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer: total Medicare revenue is $198.2K and there is no Medicaid billing on file, so all documented public-payer activity is Medicare-based. The NPI was enumerated 2006-10-12 (~20 years ago), indicating about two decades of enrollment during which this Medicare-only pattern has been recorded.

    Revenue is concentrated in a small set of procedures: the precomputed top three Medicare codes (99213, 11102, 13121) account for 55.1% of this provider's total Medicare revenue. Individually these are 99213 ($69.4K, 35.0%), 11102 ($21K, 10.6%), and 13121 ($18.9K, 9.5%), so a large share of income depends on routine E/M visits plus a mix of biopsy and complex repair work.

    The code mix aligns with office-based dermatologic practice that performs both evaluation/management and procedure-heavy care: high-volume E/M visits (99213), numerous biopsies (11102 and add-on 11103), lesion destruction (17000, 17003, 17004) and excisions/repairs (11602, 11622, 13101, 13121, 13132). This pattern indicates day-to-day workload combines clinic visits with surgical dermatology and skin cancer management.

    99213 is an outlier for this provider nationally — it ranks #5080 of 457151 providers nationally (99th percentile; extreme outlier), reflecting far-above-typical national volume for that office visit code. The elevated volume on 99213 suggests either high patient throughput, frequent return-visit management, or a strong emphasis on clinic-based E/M revenue relative to peers.

    New-patient E/M activity is also elevated: 99203 appears with $11.9K (6.0% of Medicare revenue) and ranks #6771 of 161519 providers nationally (96th percentile; notably above typical national volume). By contrast, procedural codes such as 11102 (biopsy) and 13121 (complex repair) sit in more typical ranges—11102 ranks #3209 of 18797 (83th percentile; typical, unremarkable volume) and 13121 ranks #1011 of 3302 (69th percentile; typical, unremarkable volume)—indicating strong E/M volume with more modest relative procedural standing.

    The provider bills a nontrivial set of higher-complexity surgical codes: 13132 ($8.3K, 4.2%), 13101 ($6.2K, 3.1%) and 11602 ($5.2K, 2.6%) demonstrate capability and billing for complex closures and malignant lesion excisions. These codes’ presence alongside high-volume biopsies (11102, 11103) supports an operative dermatology workflow that includes excisions and reconstructive closures rather than only minor office procedures.

    There are several ancillary or less-typical items in the Medicare mix that contribute modestly but are notable: radiation-simulation/planning codes 77290 ($7.5K, 3.8%) and 77300 ($1.2K, 0.6%) appear on the file, which is uncommon for a dermatology-focused biller and suggests occasional involvement in oncology care pathways or coordination with radiation services, though these codes are smaller revenue drivers for this provider.

    Concentration risk and payer-mix exposure should be noted by analysts: with 55.1% of Medicare revenue tied to the top three codes and no Medicaid activity, the provider’s public revenue profile is both concentrated by code and dependent on a single public payer. Any shifts in Medicare E/M utilization or local referral patterns could materially affect reported revenue given this concentration.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…1,100$60$69.4K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.300$70$21K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.60$330$18.9K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.320$50$15.1K
    99203The 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…170$70$11.9K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…270$40$10.1K
    77401Deleted effective Jan. 1, 2026.280$30$8.4K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…20$360$8.3K
    77290Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…20$340$7.5K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.20$310$6.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1700441050$130$12K
    1312111040$300$11.8K
    77401110280$30$8.3K
    7729011020$340$7.5K
    1310111020$310$6.2K
    1313221020$250$5.3K
    9921311,53050$60$4.2K
    1160211040$90$3.7K
    1110225030$70$3.1K
    17110203030$80$2.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rodney DanielFLRheumatology Physician$1.7M$0
    Hadi BazziFLDiagnostic Radiology Physician$381.4K$0
    Thomas PearsonFLNeurology Physician$300K$0
    Billy BlackmonGADiagnostic Radiology Physician$221.9K$0
    Charlene Alford-mercierFLDiagnostic Radiology Physician$183K$0
    Christopher BallardFLDermatology Physician$153.5K$0
    Manoj DhariwalFLFamily Medicine Physician$135.2K$0
    Christina RigasFLPulmonary Disease Physician$87.4K$0
    Michael WernerFLPodiatrist$55.3K$0
    Renee CollinsFLAudiologist$52.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fidel De Frias JimenezPRAnatomic Pathology & Clinical Pathology Physician$5.5K$3.3M
    Aguadilla Eye Md PscPROphthalmology Physician$0$3.3M
    Hiram OrtegaPRGastroenterology Physician$8.8K$3.1M
    Hiram Vera ArochoPRDentist$0$2.7M
    Clinica De Medicina Fisica Y Electrodiagnostico Inc.PRPhysical Therapy Clinic/Center$0$1.4M
    Laboratorio Clinico De Diego CorpPRClinical Medical Laboratory$13.7K$1.1M
    Gerardo Ortiz HernandezPRGeneral Practice Physician$3K$829.8K
    Oscar F Cordero Of Dental CspPRDentist$0$800.5K
    Dr. Nelson A. Mercado Castro, CspPROral and Maxillofacial Surgery (Dentist)$0$765.9K
    Neurosleep Puerto Rico LLCPRSleep Medicine (Psychiatry & Neurology) Physician$0$709K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Gil Cortes — 8 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico