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 Cardiovascular De Manati Iii Csp (NPI 1285687780)

Key Findings

Field	Value
Entity Type	Organization
Organization	Centro Cardiovascular De Manati Iii Csp
Address	1 Calle Marginal Ext
City	Manati
State	PR
ZIP	00674
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$5.7M
Medicare	$0

CENTRO CARDIOVASCULAR DE MANATI III CSP has no Medicare billing on file and reports $5.7M in lifetime Medicaid revenue, making its publicly visible payer mix effectively single‑payer with heavy reliance on Medicaid. Analysts should treat Medicaid as the primary commercial lens for this entity rather than Medicare.

Revenue is highly concentrated: the precomputed top‑3 Medicaid codes account for 66.0% of the provider's Medicaid revenue, driven primarily by 93306 ($2.2M, 37.9% of Medicaid revenue), 99213 ($1.1M, 20.0%), and 93224 ($458.9K, 8.0%). This concentration indicates that a small set of diagnostic and office‑visit services dominate the provider’s financial profile.

The code mix indicates an operation centered on diagnostic cardiology and ambulatory cardiac care. High volumes of imaging and monitoring codes — 93306 (echocardiography), 93224 (up to 48‑hour ECG monitoring), and 93000 (12‑lead ECG; 23.4K claims, $421.7K) — alongside large counts of 99213 office visits (23.3K claims, $1.1M) point to an echo/monitoring lab plus significant outpatient clinic throughput.

Statewide competitive standing is strong for several core cardiology services: 93306 ranks #5 of 213 providers in‑state (98th percentile; extreme outlier), 93224 ranks #3 of 85 (98th percentile; extreme outlier), 93000 ranks #2 of 410 (100th percentile; extreme outlier), and 93886 ranks #1 of 14 (100th percentile; extreme outlier). These rankings indicate the provider is a dominant or unusually high‑volume supplier of echocardiography, ECG, and selected vascular ultrasound services within Puerto Rico.

Operational throughput is reflected in very high claim volumes for routine diagnostics and visits: 93306 shows 8.4K claims, 99213 shows 23.3K claims, and 93000 shows 23.4K claims. These volumes suggest an established patient base and steady daily demand for both point‑of‑care diagnostics and recurring outpatient evaluation.

The provider also reports meaningful inpatient and higher‑acuity E/M activity: 99223 generated $337.5K (5.9% of Medicaid revenue, rank #18 of 503, 97th percentile) and 99233 generated $300K (5.3% of Medicaid revenue, rank #22 of 386, 95th percentile), while 99254 ranks #2 of 97 providers in‑state (99th percentile; extreme outlier) for inpatient consultations. This mix signals that the group performs both ambulatory diagnostic services and substantial hospital consultation work.

The provider’s NPI was enumerated 2006-05-18 (~20 years ago), indicating a long tenure in the market. That longevity aligns with the high statewide ranks for core service codes and supports interpretation of these volumes as sustained operational scale rather than a short‑term spike.

Because a small set of diagnostic codes drives the majority of Medicaid revenue (top 3 = 66.0%), the practice has concentrated operational and reimbursement exposure around echo, ECG/monitoring, and routine outpatient visits. Payer negotiations, capacity planning for echocardiography and ambulatory monitoring, and supply/labor allocations for imaging services are likely to be the most material levers for financial and operational risk management.

Medicaid: Complete Services Breakdown

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

24 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…	8,430	$260	$2.2M
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…	23,300	$50	$1.1M
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…	3,400	$140	$458.9K
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…	23,430	$20	$421.7K
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…	2,240	$150	$337.5K
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…	3,950	$80	$300K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	2,250	$130	$288.1K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	1,140	$180	$208.8K
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…	1,140	$120	$139.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	2,050	$40	$80.1K

Showing 1–10 of 24

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 Cardiovascular De Manati Iii Csp — 8 of 20 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	5	210	380	$210	$230.1K
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…	36	40	130	$210	$122.8K
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…	22	390	290	$80	$96.8K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	5	60	200	$110	$65.2K
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…	446	460	200	$50	$60.3K
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…	3	90	120	$110	$56.3K
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…	18	500	130	$90	$43.1K
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…	105	3,230	330	$10	$42.4K
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…	5	10	520	$60	$39.2K
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…	3	50	80	$120	$38.5K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Pathology Csp	PR	Clinical Medical Laboratory	$0	$16.9M
Pci Group LLC	PR	Interventional Cardiology Physician	$0	$9.6M
Anestesia Del Norte P.s.c.	PR	Specialist	$0	$5M
Mogic Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$4.9M
Dorado Health Inc	PR	General Acute Care Hospital	$0	$3.7M
Dentistas Asociados Del Norte	PR	General Practice Dentistry	$0	$3M
Crilomil Corp.	PR	Pediatric Dentistry	$0	$2.8M
Hospitalist Medical Services, Psc	PR	Anesthesiology Physician	$0	$2.7M
Atlantic Pathology	PR	Clinical Medical Laboratory	$0	$2.5M
Centro Imagenes Manati Yvf Psc	PR	Diagnostic Radiology Physician	$0	$2.3M

Centro Cardiovascular De Manati Iii Csp — Billing Profile & Reimbursement Data

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Centro Cardiovascular De Manati Iii Csp — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References