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.

Carlos Calisto-perez (NPI 1265681050)

Field	Value
Entity Type	Individual
Organization	Carlos Calisto-perez
Address	832 Calle Carmen Sanabria
City	San Juan
State	PR
ZIP	00924
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 16, 2008

Payer Source	Total Paid
Medicare	$70.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	300	$90	$26.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	240	$60	$13.7K
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…	80	$130	$10.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	100	$90	$8.3K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	40	$160	$5.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	40	$60	$2.5K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	60	$40	$2.2K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$90	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Carlos Calisto-perez — 1 of 8 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	8	170	70	$90	$9.4K
99291	39	70	40	$170	$9K
99232	30	220	80	$60	$7.9K
99239	9	40	30	$90	$5.3K
99223	15	200	20	$130	$4.9K
99231	10	20	70	$40	$3.3K
99222	99	150	20	$100	$2.4K
99238	9	70	20	$60	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carlos Calisto-perez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
The Mary Lanning Memorial Hospital Association	NE	Counselor	$0	$3.1M
Inpatient Physician Associates, LLC	NE	Internal Medicine Physician	$0	$2.2M
Jacqueline Kelly	NE	Radiation Oncology Physician	$516.1K	$0
Sean Denney	NE	Interventional Cardiology Physician	$397.2K	$0
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$346.5K
Michael Pace	NE	Internal Medicine Physician	$273K	$0
Kaliprasad Ayala	NE	Cardiovascular Disease Physician	$260.8K	$0
Brent Hood	NE	Orthopaedic Surgery Physician	$222.1K	$0

Nearby Providers

Other providers in the same ZIP code as Carlos Calisto-perez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico El Morro, Inc	PR	Clinical Medical Laboratory	$13.3K	$2.5M
Meditech3 Clinical Laboratories Inc	PR	Clinical Medical Laboratory	$68K	$673.8K
Laboratorio Clinico Ginara Inc	PR	Clinical Medical Laboratory	$15.9K	$147.6K
Walgreen Co	PR	Pharmacy	$145.9K	$0
Luis Nieves Garrastegui	PR	Pulmonary Disease Physician	$20.6K	$20.4K
Angel Aleman Gaetan	PR	Physical Therapist	$38.8K	$0
Jorge De Jesus Miranda	PR	Endocrinology, Diabetes & Metabolism Physician	$22K	$0
Norma Agosto-maury	PR	Clinical Neurophysiology Physician	$11.4K	$0

Carlos Calisto-perez — Billing Profile & Reimbursement Data

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Carlos Calisto-perez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References