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.

Med Centro, Inc. (NPI 1295727147)

Field	Value
Entity Type	Organization
Organization	Med Centro, Inc.
Address	1034 Ave Hostos
City	Ponce
State	PR
ZIP	00716
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 17, 2005

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

206 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	155,880	$10	$935.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	64,200	$1	$192.6K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	8,520	$20	$153.4K
S9083	Global fee urgent care centers	2,300	$50	$110.4K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	4,080	$30	$102K
D0272	N/A	4,240	$10	$59.3K
D0150	Comprehensive oral evaluation – new or established patient	2,990	$20	$53.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	9,930	$10	$49.7K
99441	N/A	14,710	$1	$44.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	20,720	$1	$41.4K

Showing 1–10 of 206

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

Med Centro, Inc. — 7 of 25 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

206 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88142	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	48	50	370	$20	$247.3K
S9083	Global fee urgent care centers	21	50	1,520	$40	$206K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	106	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	101	180	890	$70	$145.5K
76819	The provider performs a biophysical profile test to measure the health of the baby during pregnancy using only ultrasound and not a nonstress test.	9	10	910	$70	$93.9K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	544	770	2,520	$20	$65.5K
76700	An 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…	175	230	510	$60	$61K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	148	990	1,060	$30	$53.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	542	810	2,350	$10	$52.7K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	149	220	290	$60	$47.2K

Showing 1–10 of 206

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Med Centro, Inc.	PR	Clinical Medical Laboratory	$0	$3.6M
Amarilys Santiago Rolon	PR	Gastroenterology Physician	$510	$1.6M
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Pedro Vendrell	PR	Dermatology Physician	$7.6K	$947.5K
Miguel Echevarria Rodriguez	PR	Diagnostic Radiology Physician	$0	$820.6K
Glenda Rodriguez	PR	General Practice Physician	$316.2K	$6.1K
Zoraida Estela Jove	PR	Diagnostic Radiology Physician	$18.1K	$255.1K
German Chaves	PR	Diagnostic Radiology Physician	$27.3K	$147K
Jeffrey Zuckerman	PR	Diagnostic Radiology Physician	$131.1K	$2.1K
Belmar Irizarry Garces	PR	Internal Medicine Physician	$60.4K	$0

Nearby Providers

Other providers in the same ZIP code as Med Centro, Inc., 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
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
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
Invasive Gastro-intestinal Medical Service Psc	PR	Medical Specialty Clinic/Center	$0	$2.1M
Dr.edgardo Bermudez,servicios Cardiovasculares, Psc	PR	Interventional Cardiology Physician	$0	$2.1M

Med Centro, Inc. — Billing Profile & Reimbursement Data

Sign up for Med Centro, Inc. — Billing Profile & Reimbursement Data policy alerts

Med Centro, Inc. — Billing Profile & Reimbursement Data

Sign up for Med Centro, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References