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.

Alberto Zamot Carmona (NPI 1245423466)

Field	Value
Entity Type	Individual
Organization	Alberto Zamot Carmona
Address	Carr 693, Esquina Ave. Jose Efrain
City	Dorado
State	PR
ZIP	00646
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 21, 2007

Payer Source	Total Paid
Medicare	$11.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	10	$360	$4.6K
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…	50	$60	$2.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$100	$1.8K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$120	$1.4K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	20	$50	$900

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Alberto Zamot Carmona — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	6	10	10	$330	$5.3K
99223	190	200	20	$130	$4.9K
99213	806	1,530	50	$60	$4.2K
99204	82	200	20	$110	$2.7K
G0500	41	70	20	$40	$1.2K

Nearby Providers

Other providers in the same ZIP code as Alberto Zamot Carmona, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Optima Infusion Pharmacy Inc	PR	Pharmacy	$0	$2M
Best Vision LLC	PR	Ophthalmology Physician	$0	$759.6K
Shc Owner LLC	PR	General Acute Care Hospital	$0	$645.2K
Jose Puig Rivera	PR	Physical Medicine & Rehabilitation Physician	$20.6K	$475.2K
Yamil Castillo Beauchamp	PR	Surgery Physician	$29.5K	$289.3K
Carlos Robles	PR	Pulmonary Disease Physician	$5.9K	$208.3K
Walgreen Co	PR	Pharmacy	$122.4K	$0
Hector Mayol	PR	Ophthalmology Physician	$13.8K	$102.8K
Iliana Alvarez Ramirez	PR	Diagnostic Radiology Physician	$35.1K	$10.1K
Caribe Pharmacy Management LLC	PR	Community/Retail Pharmacy	$41.8K	$0

Alberto Zamot Carmona — Billing Profile & Reimbursement Data

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Alberto Zamot Carmona — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References