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.

Monica Portalatin Perez (NPI 1366685448)

Field	Value
Entity Type	Individual
Organization	Monica Portalatin Perez
Address	Policlinica Familiar Del Sur
City	Ponce
State	PR
ZIP	00731
Taxonomy	General Practice Physician
NPI Enumerated	April 20, 2009

Payer Source	Total Paid
Medicare	$2.2K
Medicaid	$0

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99442	N/A	50	$40	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Monica Portalatin Perez — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99442	5	30	20	$50	$2K

Nearby Providers

Other providers in the same ZIP code as Monica Portalatin Perez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puerto Rico Medical Emergency Group P.s.c.	PR	Emergency Medicine Physician	$0	$8.2M
Southern Anesthesia Associates LLC	PR	Specialist	$0	$1.4M
First Choice Prosthetic & Otrhopedic Service Inc	PR	Customized Equipment (DME)	$0	$1.3M
Amilcar Rodriguez Melendez	PR	General Practice Dentistry	$0	$877.7K
Lionel Lugo	PR	Specialist	$0	$837.7K
Humberto Simonetti	PR	Internal Medicine Physician	$18.3K	$250.7K

Monica Portalatin Perez — Billing Profile & Reimbursement Data

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Monica Portalatin Perez — 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