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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRafael Vicens Rodriguez
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    Rafael Vicens Rodriguez — Billing Profile & Reimbursement Data

    NPI 1265697114 · Bayamon, PR · Body Imaging Physician

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    Rafael Vicens Rodriguez is a body imaging physician provider located in Bayamon, Puerto Rico. This profile covers 13 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
    OrganizationRafael Vicens Rodriguez
    Address1710 Carr 2 # Int167
    CityBayamon
    StatePR
    ZIP00961
    TaxonomyBody Imaging Physician
    NPI EnumeratedJuly 21, 2008

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

    Payer SourceTotal Paid
    Medicare$10.9K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.50$60$3K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.60$30$1.7K
    78815PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…20$90$1.4K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…160$10$1.1K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.30$40$1K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.10$60$780
    76700An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…20$30$510
    72125In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.10$30$440
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…50$10$370
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…10$30$340

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7881561030$870$35.7K
    74177213020$80$3.7K
    74176156030$70$2.9K
    70450116030$30$2K
    71250205020$60$2K
    76700336020$60$1.8K
    72125122020$30$1.4K
    76770415020$60$1.3K
    71045179050$10$760
    73560525030$20$670

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    Mennonite General Hospital IncPRSpecialist$0$8.3M
    Centro De Diagnostico Y Tratamiento De Rio GrandePREmergency Care Clinic/Center$0$4.7M
    Doctors Center Hospital Bayamon IncPRGeneral Acute Care Hospital$0$3.1M
    Mennonite General Hospital IncPRGeneral Acute Care Hospital$0$2.8M
    John DanetPRPediatric Emergency Medicine (Pediatrics) Physician$0$2.7M
    Hospital Menonita De CayeyPRSpecialist$0$2.4M
    Luis AcostaPRPediatrics Physician$0$2.2M
    Hospital Menonita De CayeyPRGeneral Acute Care Hospital$0$1.8M
    Doctors Center Hospital IncPRGeneral Acute Care Hospital$0$1.7M

    Nearby Providers

    Other providers in the same ZIP code as Rafael Vicens Rodriguez, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nazareno Enterprises And Services LLCPRProsthetic/Orthotic Supplier$0$23.8M
    Cdt Gmsp, IncPRFederally Qualified Health Center (FQHC)$0$4.6M
    Centro Medico Del Turabo, Inc.PRHome Infusion Therapy Pharmacy$0$3.9M
    Djm Imaging Center LLCPRRadiology Clinic/Center$0$3.6M
    Cdt Centro De Servicios Medicos Integrados Inc.PRClinical Medical Laboratory$0$2.3M
    Cdt G.m,s.p., Inc RadiologiaPRFederally Qualified Health Center (FQHC)$0$1.7M
    Pro-health Clinical Services LLCPREndocrinology, Diabetes & Metabolism Physician$0$1.6M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Laboratorio TeresitaPRClinical Medical Laboratory$4.8K$1.3M
    Dr Joaquin Balaguer Group PscPRPodiatrist$0$1.2M

    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
    Rafael Vicens Rodriguez — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico