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.

Alessandro Bragetti (NPI 1275928699)

Field	Value
Entity Type	Individual
Organization	Alessandro Bragetti
Address	917 Ave Tito Castro
City	Ponce
State	PR
ZIP	00716
Taxonomy	General Practice Physician
NPI Enumerated	April 2, 2015

Payer Source	Total Paid
Medicare	$199K
Medicaid	$0

Key Findings

This profile is effectively Medicare-only: the provider has reported Total Medicare revenue of $199K and has no Medicaid billing on file. The platform’s precomputed summary also notes that the top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, indicating a concentrated Medicare business stream rather than a mixed-payer footprint.

The detailed code mix points to a practice focused on nursing-facility / long-term care visits. All three top CPT codes are nursing facility E/M services (99309, 99306, 99310), with 99309 described as subsequent nursing facility care visits and 99306 as initial nursing facility care visits, implying the provider routinely performs site-based care for residents rather than office-based primary care.

Revenue concentration is extreme within Medicare receipts: 99309 accounts for $153.8K (77.5% of Medicare revenue), 99306 contributes $37.6K (18.9%), and 99310 contributes $7K (3.5%), and the three together are reported to make up 100.0% of the provider’s Medicare revenue. That mix signals reliance on a single service line (nursing facility E/M) for essentially all billed Medicare dollars.

Volume and per-claim reimbursement patterns underline an operational model driven by high-frequency, relatively lower-paid encounters: 99309 shows 1.7K claims at $90 avg paid/claim, 99306 shows 244 claims at $154 avg paid/claim, and 99310 shows 54 claims at $130 avg paid/claim. The high claim count for 99309 coupled with a modest average payment per claim suggests revenue is driven by visit frequency and an on-site rounding model.

Competitive standing varies by code: 99309 ranks #1170 of 28092 providers nationally (96th percentile; notably above typical national volume for this code), indicating this provider is a high-volume national outlier on that subsequent nursing-facility visit code. By contrast, 99306 ranks #1107 of 12836 providers nationally (91th percentile; typical, unremarkable volume for this code) and 99310 ranks #7118 of 12486 providers nationally (43th percentile; typical, unremarkable volume for this code), which positions those services as more modest or average compared with peers.

From a payer-mix and market-risk perspective, the absence of any Medicaid billing on file means the provider’s revenue exposure is concentrated in Medicare. That creates limited participation in state Medicaid managed-care or fee-for-service business and suggests contracting or competitive dynamics with Medicaid plans are not currently a revenue channel for this provider.

The provider’s NPI was enumerated on 2015-04-02 (~11 years ago), indicating an established enrollment history. Combined with concentrated Medicare billing ($199K lifetime), the pattern suggests a steady, specialized practice concentrating on nursing facility care over multiple years rather than a recently entered or broadly diversified outpatient practice.

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,710	$90	$153.8K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	240	$150	$37.6K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	50	$130	$7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Alessandro Bragetti — 3 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	1	10	290	$90	$60.7K
99306	1	10	200	$150	$29.8K
99310	1	10	30	$130	$4.2K

Nearby Providers

Other providers in the same ZIP code as Alessandro Bragetti, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Pathology Services, Inc.	PR	Clinical Medical Laboratory	$6.2K	$5.7M
Tiber Health, Public Benefit Corporation	PR	Multi-Specialty Clinic/Center	$0	$5.1M
Pediatrix Medical Group, S.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$3.8M
Med Centro, Inc.	PR	Clinical Medical Laboratory	$0	$3.6M
Ida Y Vuelta, Inc.	PR	Non-emergency Medical Transport (VAN)	$0	$3.3M
St Lukes Episcopal Church Home Care Program	PR	Community Based Hospice Care Agency	$0	$2.9M
Saint Lukes Memorial Hospital Inc	PR	General Acute Care Hospital	$0	$2.5M
Med Centro, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$2.3M
St Lukes Episcopal Church Home Care Program	PR	Home Health Agency	$0	$2.2M
Medical X Ray Center Ponce	PR	Radiology Clinic/Center	$0	$2.1M

Alessandro Bragetti — Billing Profile & Reimbursement Data

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Alessandro Bragetti — 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

Nearby Providers

Frequently Asked Questions

References