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NPI 1346246865 · Mayaguez, PR · Internal Medicine Physician
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Humberto Olivencia is a internal medicine physician provider located in Mayaguez, Puerto Rico. This profile covers 4 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Humberto Olivencia |
| Address | 14 Calle Peral N |
| City | Mayaguez |
| State | PR |
| ZIP | 00680 |
| Taxonomy | Internal Medicine Physician |
| NPI Enumerated | June 21, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $10.7K |
| Medicaid | $0 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 90 | $50 | $4.5K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $130 | $4.2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 40 | $40 | $1.6K |
| 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. | 20 | $20 | $360 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
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 |
|---|---|---|---|---|
| 0521F | The provider documents a plan of care to manage pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. | 20 | $0 | $0 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 10 | $0 | $0 |
| 1157F | No Summary found for this code | 20 | $0 | $0 |
| 1159F | No Summary found for this code | 10 | $0 | $0 |
| 1160F | No Summary found for this code | 10 | $0 | $0 |
| 1170F | The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of… | 20 | $0 | $0 |
| 3008F | No Summary found for this code | 10 | $0 | $0 |
| 4035F | The provider recommends influenza vaccination to provide protection against influenza in a patient with chronic inflammatory bowel disease due to the risk of life threatening complications from this… | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 1157F | No Summary found for this code | 255 | 300 | 70 | $1 | $30 |
| 0521F | The provider documents a plan of care to manage pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. | 192 | 240 | 80 | $1 | $1 |
| 1126F | The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain. | 413 | 460 | 120 | $1 | $1 |
| 1159F | No Summary found for this code | 805 | 860 | 80 | $1 | $1 |
| 1160F | No Summary found for this code | 763 | 820 | 70 | $1 | $1 |
| 3008F | No Summary found for this code | 738 | 810 | 100 | $1 | $1 |
| 1170F | The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of… | 514 | 590 | 70 | $0 | $0 |
| 4035F | The provider recommends influenza vaccination to provide protection against influenza in a patient with chronic inflammatory bowel disease due to the risk of life threatening complications from this… | 123 | 130 | 120 | $0 | $0 |
Other providers in the same ZIP code as Humberto Olivencia, ranked by combined Medicare and Medicaid revenue.
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