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.

Jose Rosa (NPI 1326772484)

Field	Value
Entity Type	Individual
Organization	Jose Rosa
Address	Carr. 31 Km. 4.0
City	Naguabo
State	PR
ZIP	00718
Taxonomy	General Practice Physician
NPI Enumerated	July 14, 2022

Payer Source	Total Paid
Medicare	$17.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	110	$100	$11K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	$130	$2.6K
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…	40	$70	$2.4K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	20	$20	$430
G0444	Annual depression screening, 5 to 15 minutes	20	$20	$410
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	10	$20	$200
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…	20	$10	$170

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Jose Rosa — 0 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	83	470	50	$80	$6.6K
G0439	9	20	20	$130	$4.3K
99213	973	1,530	50	$60	$4.2K
99211	42	40	30	$10	$790
93000	185	220	50	$10	$740
G0444	4	10	30	$20	$590
G0442	3	10	20	$20	$580

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Medina Inc.	PR	Clinical Medical Laboratory	$7.1K	$3M
Lab Clinico Villa Ana	PR	Clinical Medical Laboratory	$2.7K	$3M
Mb Clinical Laboratories Corp.	PR	Clinical Medical Laboratory	$0	$1.3M
Abner Mercado	PR	General Practice Physician	$2K	$1M
Omar Silva	PR	Family Medicine Physician	$0	$754.6K

Jose Rosa — Billing Profile & Reimbursement Data

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Jose Rosa — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References