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.

Edgar Reyes (NPI 1376530477)

Field	Value
Entity Type	Individual
Organization	Edgar Reyes
Address	Carr. # 2 Km 70.2
City	Arecibo
State	PR
ZIP	00612
Taxonomy	General Practice Dentistry
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicaid	$728K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,960	$30	$172.8K
D1999	N/A	7,350	$20	$110.3K
D0150	Comprehensive oral evaluation – new or established patient	4,300	$20	$90.2K
D0330	N/A	2,480	$30	$79.3K
D0272	N/A	4,660	$20	$69.9K
D0120	Periodic oral evaluation - established patient	3,830	$10	$53.6K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,070	$40	$39.5K
D1208	Topical application of fluoride - excluding varnish	2,510	$10	$35.1K
D0140	Limited oral evaluation – problem focused	1,730	$20	$31.1K
D1120	Prophylaxis–child	1,150	$20	$21.8K

Showing 1–10 of 15

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.

Claims Volume vs. Puerto Rico Distribution

Edgar Reyes — 3 of 15 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. Puerto Rico median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	65	990	1,060	$30	$53.1K
D1999	N/A	59	950	1,350	$10	$35.1K
D0330	N/A	54	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	143	940	880	$10	$24.2K
D0272	N/A	62	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	478	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	51	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	16	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	102	810	500	$10	$16K
D1120	Prophylaxis–child	136	690	260	$20	$14.5K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sociedad De Servicios Neonatales De Arecibo	PR	Neonatal-Perinatal Medicine Physician	$0	$14.3M
Laboratorio Clinico Toledo, LLC	PR	Clinical Medical Laboratory	$83.2K	$11.9M
Metro Pavia At Home, LLC	PR	Home Health Agency	$0	$6.6M
Hospicio La Paz Inc	PR	Community Based Hospice Care Agency	$0	$5.7M
Retina Care Psc	PR	Ophthalmology Physician	$0	$4.3M
Integral Therapy Center	PR	Hearing and Speech Clinic/Center	$0	$3.8M
Luis Montalvo	PR	Ophthalmology Physician	$8K	$3.5M
Laboratorio Clinico Villa Los Santos	PR	Clinical Medical Laboratory	$360	$3.1M
Emergency Physician Providers, LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2.8M
Arraiza Radiology Psc	PR	Diagnostic Radiology Physician	$0	$2.8M

Edgar Reyes — Billing Profile & Reimbursement Data

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Edgar Reyes — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References