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.

Ana Ramirez (NPI 1306929062)

Field	Value
Entity Type	Individual
Organization	Ana Ramirez
Address	Urb. Borinquen
City	Cabo Rojo
State	PR
ZIP	00623
Taxonomy	Dentist
NPI Enumerated	October 23, 2006

Payer Source	Total Paid
Medicaid	$995K
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	9,060	$30	$235.6K
D1999	N/A	10,050	$20	$150.7K
D0120	Periodic oral evaluation - established patient	8,560	$10	$119.8K
D0330	N/A	3,930	$30	$110.1K
D0272	N/A	6,500	$10	$91K
D0150	Comprehensive oral evaluation – new or established patient	4,390	$20	$87.9K
D1208	Topical application of fluoride - excluding varnish	5,640	$10	$79K
D1120	Prophylaxis–child	3,490	$20	$66.3K
D2140	Amalgam - one surface, primary or permanent	710	$30	$18.4K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	480	$30	$15K

Showing 1–10 of 17

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

Ana Ramirez — 8 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	22	990	1,060	$30	$53.1K
D1999	N/A	28	950	1,350	$10	$35.1K
D0330	N/A	18	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	21	940	880	$10	$24.2K
D0272	N/A	24	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	200	550	210	$40	$20.7K
D1351	Sealant - per tooth	84	160	440	$10	$19K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	112	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	13	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	24	810	500	$10	$16K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico La 100 Inc	PR	Clinical Medical Laboratory	$15.1K	$1.2M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$726K
Rosa Garcia	PR	General Practice Dentistry	$0	$650K
Empresas Jerico Inc.	PR	Clinical Medical Laboratory	$12.4K	$543.3K
Walgreen Co	PR	Pharmacy	$51.3K	$0
Ramon Sosa Garcia	PR	General Practice Physician	$17.6K	$200
Southwest Ambulance Transportation	—	Ambulance	$4.5K	$0
Juan Barreras	PR	General Practice Physician	$4.4K	$0

Ana Ramirez — Billing Profile & Reimbursement Data

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Ana Ramirez — 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