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.

Fernando Lopez (NPI 1285631747)

Field	Value
Entity Type	Individual
Organization	Fernando Lopez
Address	Hospital Menonita- Cayey
City	Cayey
State	PR
ZIP	00736
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$13.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	50	$130	$5.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60	$60	$3.5K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	10	$150	$1.7K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	20	$40	$750
99442	N/A	10	$70	$720
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	70	$10	$630
93784	The provider prescribes ambulatory blood pressure monitoring in which a patient wears a device continuously that automatically measures blood pressure at intervals over a period of 24 hours and…	10	$30	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Fernando Lopez — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	43	160	30	$110	$4.3K
99213	562	1,530	50	$60	$4.2K
93880	78	90	20	$120	$2.8K
99442	33	30	20	$50	$2K
93224	14	30	20	$50	$940
93000	65	220	50	$10	$740
93784	4	10	10	$30	$500

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Corporacion De Salud Integral Y	PR	Cardiovascular Disease Physician	$0	$706.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agosto Allergy And Immunology Csp	PR	Allergy & Immunology Physician	$0	$2.4M
Advanced Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$2M
Laboratorio Clinico Montellano Inc	PR	Clinical Medical Laboratory	$16.3K	$1.8M
Juan Benitez Santana	PR	General Practice Physician	$3.6K	$1.3M
Anestesia Del Caribe,csp	PR	Anesthesiology Physician	$0	$1.2M
Luis Suarez Almedina	PR	Pediatrics Physician	$0	$1.1M
Luis Garcia - Lopez	PR	Physical Medicine & Rehabilitation Physician	$0	$1M
Gobierno Municipal De Cayey	PR	Clinic/Center	$0	$1M
Centro Fisiatrico Del Plata Psc	PR	Physical Medicine & Rehabilitation Physician	$0	$994.3K
Jam Ambulance Service Inc	PR	Land Ambulance	$17.6K	$962.3K

Fernando Lopez — Billing Profile & Reimbursement Data

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Fernando Lopez — 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