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 Integrado De Cancer Del Sur, Psc (NPI 1306153556)

Field	Value
Entity Type	Organization
Organization	Centro Integrado De Cancer Del Sur, Psc
Address	Carr. 506 Km 1.0
City	Coto Laurel
State	PR
ZIP	00780
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	September 9, 2010

Payer Source	Total Paid
Medicaid	$937.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q0084	Chemotherapy administration by infusion technique only, per visit	3,700	$80	$303.7K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	3,510	$90	$298K
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…	2,830	$60	$166.7K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	1,540	$80	$118.9K
96417	In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…	690	$60	$39.4K
99443	N/A	110	$60	$6.4K
J2405	Injection, ondansetron hydrochloride, per 1 mg	1,170	$1	$3.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	30	$20	$610

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 Integrado De Cancer Del Sur, Psc — 0 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q0084	Chemotherapy administration by infusion technique only, per visit	16	70	900	$80	$219.9K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	12	70	750	$80	$138K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	14	60	360	$80	$94K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	230	280	210	$30	$43.8K
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…	109	900	360	$30	$42.5K
96417	In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…	11	30	440	$60	$42.4K
99443	N/A	109	210	110	$10	$9.8K
J2405	Injection, ondansetron hydrochloride, per 1 mg	16	40	410	$1	$5.2K

Nearby Providers

Other providers in the same ZIP code as Centro Integrado De Cancer Del Sur, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nelson Medina	PR	Gastroenterology Physician	$1.5K	$2.7M
Anesthesia Providers Group, P.s.c.	PR	Specialist	$0	$1.9M
Ahmed Morales Jorge	PR	Gastroenterology Physician	$1.8K	$1.6M
San Cristobal Anesthesia Csp	PR	Anesthesiology Physician	$0	$1.5M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1M
Quality Health Services Of Puerto Rico Inc	PR	General Acute Care Hospital	$0	$1M
Hospital Menonita Ponce Inc	PR	Specialist	$0	$802.3K
Humberto Vazquez Colon	PR	General Practice Dentistry	$0	$607.9K
Jorge Grillasca Palou	PR	Nephrology Physician	$31.8K	$325.3K
Walgreen Co.	PR	Pharmacy	$69K	$0

Centro Integrado De Cancer Del Sur, Psc — Billing Profile & Reimbursement Data

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Centro Integrado De Cancer Del Sur, Psc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References