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.

Winston Imbert De Iturrondo (NPI 1255416301)

Field	Value
Entity Type	Individual
Organization	Winston Imbert De Iturrondo
Address	400 Ave Fd Roosevelt
City	San Juan
State	PR
ZIP	00918
Taxonomy	Radiation Oncology Physician
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicare	$270.1K
Medicaid	$0

Key Findings

This provider's Medicare footprint is concentrated and modest in scale: lifetime Medicare revenue is $270.1K and there is no Medicaid billing on file, making the practice effectively single-payer with exposure to Medicare only. The absence of any Medicaid claims suggests limited to no participation in state Medicaid delivery or billing for the period on file.

Revenue is highly concentrated in a small set of treatment delivery and imaging codes: the top three Medicare codes (G6015, 77014, 77301) together account for 83.2% of this provider's total Medicare revenue. Individually those are G6015 $150.7K (55.7%), 77014 $52.5K (19.4%), and 77301 $21.9K (8.1%), indicating most revenue stems from a narrow set of radiation therapy services.

The code mix indicates an operation focused on intensity-modulated radiation therapy (IMRT) and routine treatment delivery: G6015 is the largest single revenue driver and its description corresponds to IMRT delivery sessions, while 77014 and 77301 reflect imaging/portal verification and IMRT planning respectively. Together these codes point to a practice oriented toward delivering and verifying external beam radiation treatments rather than generating substantial office-based evaluation-and-management revenue.

On competitive standing, this provider is a modest national participant for its top services rather than a dominant player: G6015 ranks #722 of 1429 providers (49th percentile) and is described as "typical, unremarkable volume," 77014 ranks #1868 of 4303 (57th percentile) also "typical, unremarkable volume," while 77301 sits much lower at #3440 of 3815 (8th percentile) and is likewise labeled "typical, unremarkable volume." These rank/percentile positions suggest routine local activity levels with no indication of unusually high national market share for these codes.

Operational intensity is visible in claims and per-claim payment patterns: the provider reported 527 claims of G6015 at $286 avg paid/claim and 547 claims of 77014 at $96 avg paid/claim, while evaluation-and-management activity is relatively limited (for example, 62 claims of 99214 at $86 avg paid/claim and 12 claims of 99205 at $173 avg paid/claim). This mix—high counts for treatment-delivery codes and comparatively fewer E/M visits—supports a workflow concentrated on repeated radiation sessions rather than frequent new-patient or complex office visits.

The practice bills a full complement of planning and physics-related services alongside delivery codes, but these are smaller revenue contributors: 77336 $7.9K (2.9%), 77338 $6.3K (2.3%), 77300 $3.3K (1.2%), 77263 $2.2K (0.8%), and 77334 $1.3K (0.5%). Presence of these codes indicates in-house involvement in dosimetry, medical physics consultation, and device design for dose delivery, consistent with comprehensive radiation-therapy workflow even though they do not drive large shares of revenue.

The provider has a long enrollment history with the NPI enumerated on 2006-10-26 (~20 years ago), indicating sustained presence in the Medicare program. Despite this tenure, the overall Medicare revenue total of $270.1K suggests either a small clinical panel, limited Medicare volume, or a practice emphasis on services billed under other payers or non-billed roles not visible in these Medicare-only records.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	530	$290	$150.7K
77014	N/A	550	$100	$52.5K
77301	Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…	20	$1,460	$21.9K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	110	$150	$16.9K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	120	$70	$7.9K
77338	In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy…	20	$370	$6.3K
99214	The provider sees an established 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…	60	$90	$5.3K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	60	$50	$3.3K
77263	The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…	20	$120	$2.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$170	$2.1K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Winston Imbert De Iturrondo — 5 of 11 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

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G6015	1	10	390	$290	$111.7K
77014	1	10	280	$100	$26.9K
77301	1	10	10	$1,400	$19.6K
77427	1	10	60	$150	$10.6K
99214	182	470	50	$80	$6.6K
77338	1	10	20	$360	$6.2K
77336	1	10	70	$70	$5K
99205	23	30	20	$150	$3.5K
77300	1	10	50	$50	$2.5K
77263	1	10	20	$130	$2K

Showing 1–10 of 11

Related Providers

Other providers that share a Tax Identification Number (TIN) with Winston Imbert De Iturrondo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandra Gracia-lopez	PR	Nuclear Medicine Physician	$26.7K	$4.1M
Hector Velez Cortes	PR	Hematology & Oncology Physician	$4.3K	$4M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Nelson Medina	PR	Gastroenterology Physician	$1.5K	$2.7M
Eduardo Perez Rodriguez	PR	Ophthalmology Physician	$21.7K	$2.3M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Amarilys Santiago Rolon	PR	Gastroenterology Physician	$510	$1.6M
Harry Alverio Rodriguez	PR	Physical Medicine & Rehabilitation Physician	$3.7K	$1.5M
Adalberto Mendoza	PR	Anatomic Pathology & Clinical Pathology Physician	$13.3K	$1.5M
Luz Butler Moya	PR	Physical Therapist	$0	$1.5M

Nearby Providers

Other providers in the same ZIP code as Winston Imbert De Iturrondo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio De Patologia Dr Noy	PR	Anatomic Pathology Physician	$0	$45.7M
Hato Rey Pathology Associates Inc	PR	Clinical Medical Laboratory	$58.5K	$42M
Home Orthopedics Corp	PR	Prosthetic/Orthotic Supplier	$0	$20.7M
Orthobone, Inc	PR	Customized Equipment (DME)	$0	$15.5M
Smith & Nephew Inc.	PR	Prosthetic/Orthotic Supplier	$0	$12M
Laboratorio Clinico Noy Inc	PR	Clinical Medical Laboratory	$76.1K	$9.9M
Servicios Radiologicos Asociados Jorge Perez Brais	PR	Diagnostic Radiology Physician	$0	$2.9M
Luis Torres Vera	PR	Allergy Physician	$21.5K	$2.7M
Inspira Psychiatric Services Psc	PR	Adult Mental Health Clinic/Center	$0	$2.5M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M

Winston Imbert De Iturrondo — Billing Profile & Reimbursement Data

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Winston Imbert De Iturrondo — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References