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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLuis Acosta
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    Luis Acosta — Billing Profile & Reimbursement Data

    NPI 1366785438 · Vega Alta, PR · Pediatrics Physician

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    Luis Acosta is a pediatrics physician provider located in Vega Alta, Puerto Rico. This profile covers 0 Medicare and 6 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
    OrganizationLuis Acosta
    AddressStreet 693 Brenas, Lot. 259
    CityVega Alta
    StatePR
    ZIP00692
    TaxonomyPediatrics Physician
    NPI EnumeratedMarch 27, 2013

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

    Payer SourceTotal Paid
    Medicaid$2.2M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…18,390$60$1M
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…5,450$110$572.6K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…5,480$60$312.6K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.4,190$40$176.1K
    99281The provider sees a patient for the lowest level emergency department visit.5,600$10$61.6K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.1,500$20$34.4K

    Medicaid: Competitive Analysis & Benchmarks

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.32500220$40$79.5K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…6460200$50$60.3K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…3320100$80$31.3K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…4250180$30$23.1K
    99281The provider sees a patient for the lowest level emergency department visit.59080$10$21.5K
    99282The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.611070$30$14.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    John DanetPRPediatric Emergency Medicine (Pediatrics) Physician$0$2.7M
    Jesus Romero PerezPRDiagnostic Radiology Physician$8.1K$1.4M
    Pedro Rivera CaballeroPRGeneral Practice Physician$3.1K$1.3M
    Juan Benitez SantanaPRGeneral Practice Physician$3.6K$1.3M
    Francisco Menendez DiazPRGeneral Practice Physician$0$986.8K
    Jose Rivera VelazquezPRPediatrics Physician$0$818.4K
    Rejee AreeckalPRGeneral Practice Physician$0$704.1K
    Zoraida Estela JovePRDiagnostic Radiology Physician$18.1K$255.1K
    Juan Malpica-santiagoPRPulmonary Disease Physician$33.2K$148.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sonrisas Radiantes Dental Clinic(csp)PRDental Clinic/Center$0$2.8M
    Cdt Centro De Medicina Primaria De Vega Alta CorpPRClinical Medical Laboratory$0$2M
    Estudio Dental Otero Loperena LLCPRGeneral Practice Dentistry$0$1.2M
    Caribe Dental GalleryPRDental Clinic/Center$0$956.2K
    Oficina Dental Laser Dr. Nunez, P.s.c.PRDental Clinic/Center$0$939.5K
    Vega Alta Community HealthPRClinical Medical Laboratory$0$917K
    Clinica Dental Dr. Edwin Rosa, CspPROral and Maxillofacial Surgery Clinic/Center$0$655.1K
    Laboratorio TeresitaPRClinical Medical Laboratory$0$645K
    Laboratorio Clinico Caribe Medical Plaza,inc.PRClinical Medical Laboratory$5.6K$610.2K
    Centro De Medicina Primaria VaPRGeneral Practice Physician$0$558K

    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.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    3 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Luis Acosta — 5 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico