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.

Centro Medico Del Turabo, Inc. (NPI 1275812935)

Field	Value
Entity Type	Organization
Organization	Centro Medico Del Turabo, Inc.
Address	70 Calle Santa Cruz
City	Bayamon
State	PR
ZIP	00961
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	August 12, 2011

Payer Source	Total Paid
Medicaid	$3.9M
Medicare	$0

Key Findings

CENTRO MEDICO DEL TURABO, INC. is effectively a Medicaid-focused home infusion therapy pharmacy: it has no Medicare billing on file and reports total Medicaid revenue of $3.9M, indicating a single-payer footprint concentrated in state Medicaid programs rather than Medicare. The absence of Medicare activity suggests its business operations and contracting are oriented toward Medicaid beneficiaries and payers in Puerto Rico.

Revenue concentration is high: the precomputed top three Medicaid codes account for 79.9% of the provider’s total Medicaid revenue, indicating that a small set of services—primarily home wound care, per-diem nursing, and home infusion administrative services—drive the majority of its Medicaid receipts. This concentration implies financial sensitivity to changes in reimbursement or utilization for those specific codes.

The provider’s single largest revenue generator is S9097 (Home visit for wound care), which produced $2.2M and represents 57.7% of the provider’s Medicaid revenue. CENTRO MEDICO DEL TURABO ranks #2 of 23 in-state for S9097 (95th percentile), which positions the provider as a major state participant for home wound-care visits and suggests a substantial operational capacity in wound management visits.

T1030 (Nursing care, in the home, by registered nurse, per diem) produced $451.6K (11.6% of Medicaid revenue) and the provider ranks #2 of 27 in-state (96th percentile). This notably above-typical volume for in-home RN per-diem services complements the high S9097 volume and indicates an integrated model delivering both wound care visits and ongoing nursing per-diem care.

S9494 (Home infusion therapy administrative/professional pharmacy services, per diem) generated $413.4K (10.6% of Medicaid revenue) and CENTRO MEDICO DEL TURABO ranks #1 of 9 in-state (100th percentile). Being the top-ranked provider for this home infusion administrative code highlights a leading competitive position within Puerto Rico for coordinating home infusion therapy, including pharmacy services and care coordination.

Several specific drug and infusion administration codes show targeted clinical focus: J0696 (ceftriaxone) produced $231.6K and ranks #1 of 17 in-state (characterized as an extreme outlier), and J1335 (ertapenem) produced $177.3K and ranks #1 of 4 (100th percentile). These high-ranking antibiotic injection codes, together with 96365 and 97602 volumes, underscore a clinical emphasis on parenteral antibiotic therapy and wound debridement within the home setting.

Operational footprint appears substantial given tenure and volume: the NPI was enumerated ~15 years ago (2011-08-12), which combined with large claim counts (e.g., 41.5K claims for S9097 and 15.3K claims for S9494) suggests an established operator with sustained Medicaid contracting and high throughput in home-based infusion and wound-care services.

There are some zero-paid line items in the top-25 Medicaid list (99601 and S9500 report $0 revenue despite being claimed), which may reflect non-billed or bundled administrative codes, payer-specific payment policies, or reporting idiosyncrasies; these should be reviewed if reconciling encounter-level revenue or assessing reimbursement completeness.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9097	Home visit for wound care	41,500	$50	$2.2M
T1030	Nursing care, in the home, by registered nurse, per diem	13,280	$30	$451.6K
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	15,310	$30	$413.4K
J0696	Injection, ceftriaxone sodium, per 250 mg	6,810	$30	$231.6K
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	3,220	$60	$190.2K
J1335	Injection, ertapenem sodium, 500 mg	1,990	$90	$177.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	6,860	$20	$116.6K
T1001	Nursing assessment / evaluation	1,180	$50	$57.9K
J3370	Injection, vancomycin hcl, 500 mg	360	$20	$6.9K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	2,440	$0	$0

Showing 1–10 of 11

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

Centro Medico Del Turabo, Inc. — 6 of 9 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	3	10	2,250	$80	$1.2M
S9097	Home visit for wound care	2	20	4,150	$70	$761.3K
J1335	Injection, ertapenem sodium, 500 mg	1	10	1,550	$350	$479.8K
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	1	10	1,710	$100	$394.7K
T1030	Nursing care, in the home, by registered nurse, per diem	2	30	1,360	$80	$228.4K
T1001	Nursing assessment / evaluation	9	20	650	$60	$178.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	3	60	240	$100	$147.6K
J3370	Injection, vancomycin hcl, 500 mg	3	10	510	$120	$53.2K
J0696	Injection, ceftriaxone sodium, per 250 mg	1	20	60	$30	$25.6K
99601	The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit.	1	10	2,440	$1	$90

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Centro Medico Del Turabo, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nazareno Enterprises And Services LLC	PR	Prosthetic/Orthotic Supplier	$0	$23.8M
Cdt Gmsp, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$4.6M
Djm Imaging Center LLC	PR	Radiology Clinic/Center	$0	$3.6M
Cdt Centro De Servicios Medicos Integrados Inc.	PR	Clinical Medical Laboratory	$0	$2.3M
Cdt G.m,s.p., Inc Radiologia	PR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Pro-health Clinical Services LLC	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$1.6M
Edilberto Martinez	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Laboratorio Teresita	PR	Clinical Medical Laboratory	$4.8K	$1.3M
Dr Joaquin Balaguer Group Psc	PR	Podiatrist	$0	$1.2M
San Pablo Pathology Group Inc.	PR	Anatomic Pathology Physician	$0	$1.1M

Centro Medico Del Turabo, Inc. — Billing Profile & Reimbursement Data

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Centro Medico Del Turabo, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References