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.

Vega Baja Imaging LLC (NPI 1265458558)

Field	Value
Entity Type	Organization
Organization	Vega Baja Imaging LLC
Address	3998 Carr 2
City	Vega Baja
State	PR
ZIP	00693
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	July 13, 2006

Payer Source	Total Paid
Medicaid	$2M
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
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	9,040	$90	$823K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	8,710	$80	$670.4K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	4,920	$100	$486.7K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	1,360	$30	$42.2K

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

Vega Baja Imaging LLC — 1 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
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	9	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	7	180	890	$70	$145.5K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	8	130	480	$90	$109.4K
77080	The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…	13	100	280	$30	$15.9K

Nearby Providers

Other providers in the same ZIP code as Vega Baja Imaging LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P.r. Clinical Reference Laboratory Inc	PR	Clinical Medical Laboratory	$19.4K	$3.7M
Laboratorio Clinico Del Mar LLC	PR	Clinical Medical Laboratory	$24.6K	$2.6M
Mini S Steps Csp	PR	Speech-Language Pathologist	$0	$1.6M
Vega Baja Radiology Psc	PR	Diagnostic Radiology Physician	$0	$1.5M
Maria Umpierre Marchand	PR	Dentist	$0	$1.3M
Prime Family Clinic LLC	PR	Primary Care Clinic/Center	$0	$1.2M
Laboratorio Clinico Figueroa P S C	PR	Clinical Medical Laboratory	$170	$826.4K
Prymed Medical Care Inc	PR	Clinical Medical Laboratory	$0	$817.9K
Prymed Medical Care, Inc	PR	Multi-Specialty Clinic/Center	$0	$785.5K
Instituto Medico Del Norte Inc	PR	General Acute Care Hospital	$0	$760K

Vega Baja Imaging LLC — Billing Profile & Reimbursement Data

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Vega Baja Imaging 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