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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHilton Franqui-rivera
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    Hilton Franqui-rivera — Billing Profile & Reimbursement Data

    NPI 1336342096 · San Juan, PR · Clinical Cardiac Electrophysiology Physician

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    Hilton Franqui-rivera is a clinical cardiac electrophysiology physician provider located in San Juan, Puerto Rico. This profile covers 7 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHilton Franqui-rivera
    Address1492 Ave Ponce De Leon Ste 711
    CitySan Juan
    StatePR
    ZIP00907
    TaxonomyClinical Cardiac Electrophysiology Physician
    NPI EnumeratedJune 8, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$9.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93288In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…60$40$2.2K
    99203The provider sees a new 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 provider…30$90$2.2K
    99213The 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…30$70$2.1K
    93289In this service, the provider performs a face–to–face evaluation and then optimally adjusts the existing parameters of an already implanted single, dual, or multiple lead defibrillator system. He…20$60$1.2K
    93280In this service, the provider performs a face to face evaluation and then optimally adjusts the existing parameters of an already implanted dual lead pacemaker system.  He changes various operating…10$60$750
    93000The 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…50$10$560
    93227In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…10$10$180

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992131,1721,53050$60$4.2K
    9328851060$40$2.2K
    9328931030$50$1.9K
    9920314948020$70$1.8K
    9328041020$50$1.2K
    930009322050$10$740
    9322761020$10$310

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Hilton Franqui-rivera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recinto De Ciencias MedicasPREmergency Medicine Physician$0$6.8M
    Recinto De Ciencias MedicasPRNeonatal-Perinatal Medicine Physician$0$5.4M
    Recinto De Ciencias MedicasPRDiagnostic Radiology Physician$0$4.2M
    Recinto De Ciencias MedicasPRPediatrics Physician$0$4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Recinto De Ciencias MedicasPRInternal Medicine Physician$0$3.4M
    Recinto De Ciencias MedicasPRPediatric Cardiology Physician$0$3.1M
    Recinto De Ciencias MedicasPRClinical Medical Laboratory$0$3.1M
    Recinto De Ciencias MedicasPROrthopaedic Surgery Physician$0$3M
    Recinto De Ciencias MedicasPRMaternal & Fetal Medicine Physician$0$2.7M

    Nearby Providers

    Other providers in the same ZIP code as Hilton Franqui-rivera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Precision Hearing Center IncPRAudiologist$0$7.3M
    Laboratorio Clinico Dr. Gualberto RabellPRClinical Medical Laboratory$0$1.5M
    Sandra Hurtado Ponce De LeonPRDriver$0$1.3M
    Ubaldo Santiago BuonoPRGeriatric Medicine (Internal Medicine) Physician$11.5K$1.2M
    Hope Health PscPRCorporate Health Clinic/Center$0$920.7K
    Francisco OjedaPRGeneral Practice Physician$0$818.2K
    Raul MontillaPRDentist$0$681.7K
    Antonio Orraca-gotayPRCardiovascular Disease Physician$42.3K$196.7K
    Carlos JimenezPRNuclear Medicine Physician$236.5K$0
    Nanette De LeonPROphthalmology Physician$45.9K$135.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Hilton Franqui-rivera — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico