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.

Luisa Marcial (NPI 1326181462)

Field	Value
Entity Type	Individual
Organization	Luisa Marcial
Address	Ext. Hnas Davila Marginal Carr. Pr #2
City	Bayamon
State	PR
ZIP	00959
Taxonomy	Radiation Oncology Physician
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicare	$12.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	40	$150	$6.5K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	40	$70	$3K
99205	The provider sees a new 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 provider…	10	$130	$1.4K
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…	20	$70	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Luisa Marcial — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77427	4	10	60	$150	$10.6K
99214	429	470	50	$80	$6.6K
77336	4	10	70	$70	$5K
99205	28	30	20	$150	$3.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sherry Santiago-castro	PR	Neurology with Special Qualifications in Child Neurology Physician	$0	$1.5M
Alberto Colon-alvarado	PR	Diagnostic Radiology Physician	$0	$1.1M
Carlos Remedios-carbone	PR	Radiation Oncology Physician	$0	$1M
Juan Flores-gonzalez	PR	Pulmonary Disease Physician	$8.5K	$638.5K
Zoraida Estela Jove	PR	Diagnostic Radiology Physician	$18.1K	$255.1K
Ricardo Hernandez-castillo	PR	Pulmonary Disease Physician	$28.6K	$211.9K
Mirelis Acosta	PR	Hematology & Oncology Physician	$6.3K	$215.1K
German Chaves	PR	Diagnostic Radiology Physician	$27.3K	$147K
Roberto Santiago Mendez	PR	Radiation Oncology Physician	$134.6K	$3.8K
Francisco Lazaga	CA	Diagnostic Radiology Physician	$135.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ct Radiology Complex, LLC	PR	Diagnostic Radiology Physician	$0	$6.2M
Ruben Diaz - Rodriguez	PR	Pediatric Cardiology Physician	$0	$3.9M
Pk Industries Corp	PR	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Doctors Center Hospital Bayamon Inc	PR	General Acute Care Hospital	$0	$3.1M
Laboratorios Clinico Bayamon Inc	PR	Clinical Medical Laboratory	$14K	$2.5M
Bayamon Medical Center Corp	PR	General Acute Care Hospital	$0	$2.3M
New Vision Medical Diagnostics Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Centro De Patologia Avanzada De Pr Csp	PR	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
Vitreo Retinal Consultants, Psc	PR	Specialist	$0	$1.5M
Stereotactic Breast Center Psc	PR	Ambulatory Surgical Clinic/Center	$0	$1.3M

Luisa Marcial — Billing Profile & Reimbursement Data

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Luisa Marcial — 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