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.

Loscar Santiago (NPI 1356655732)

Field	Value
Entity Type	Individual
Organization	Loscar Santiago
Address	10 Calle Casia
City	San Juan
State	PR
ZIP	00921
Taxonomy	Gastroenterology Physician
NPI Enumerated	July 28, 2010

Payer Source	Total Paid
Medicare	$9.2K
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
99204	The provider sees a new 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 provider…	40	$110	$3.8K
76981	The provider carries out ultrasound elastography of an organ such as the liver to establish a baseline of the organ’s functional (nonconnective, nonstructural) tissue by measuring its return to…	30	$80	$2.3K
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	$100	$2.2K
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…	20	$50	$900

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

Loscar Santiago — 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
99214	382	470	50	$80	$6.6K
76981	5	10	30	$80	$3K
99204	28	200	20	$110	$2.7K
G0500	41	70	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Federico Rodriguez Perez	PR	Hepatology Physician	$48.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jose Garcia Gonzalez	PR	Retina Specialist (Ophthalmology) Physician	$1.9M	$3.4M
Recinto De Ciencias Medicas	PR	Obstetrics & Gynecology Physician	$0	$3.8M
Medical Pharmacy And Lab	PR	Exclusive Provider Organization	$0	$2.5M
Metrohealth Radiation Oncology Group, Inc.	PR	Specialist	$0	$2.5M
Metropolitan Mri Associates Psc	PR	Neuroradiology Physician	$0	$2.1M
Pediatrics Management Services	PR	Medical Specialty Clinic/Center	$0	$1.8M
Luis Rodriguez	PR	Diagnostic Radiology Physician	$2K	$1.3M
Metrohealth, Inc.	PR	General Acute Care Hospital	$0	$905.1K
Minerva Nunez	PR	General Practice Dentistry	$0	$761.4K
Elizabeth Calderon-alicea	PR	Hematology & Oncology Physician	$0	$707.2K

Loscar Santiago — Billing Profile & Reimbursement Data

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Loscar Santiago — 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