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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRicardo Sein-najera
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    Ricardo Sein-najera — Billing Profile & Reimbursement Data

    NPI 1376744615 · San Juan, PR · Nuclear Imaging & Therapy Physician

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    Ricardo Sein-najera is a nuclear imaging & therapy physician provider located in San Juan, Puerto Rico. This profile covers 11 Medicare and 0 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
    OrganizationRicardo Sein-najera
    AddressSein Medical Plaza 126 De Diego Avenue
    CitySan Juan
    StatePR
    ZIP00921
    TaxonomyNuclear Imaging & Therapy Physician
    NPI EnumeratedMay 31, 2007

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

    Payer SourceTotal Paid
    Medicare$66.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…60$340$19.5K
    78803The provider uses a nuclear imaging test called SPECT to localize a tumor, inflammatory process, or radioactive tracer distribution. Vascular flow and blood pool imaging are included if performed.…50$280$13.8K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose130$90$11.1K
    78306The provider performs a bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the various bones of…30$200$6.1K
    78315The provider performs a three–phase bone scan (also known as scintigraphy), a specialized nuclear medicine procedure in which the provider injects a radionuclide prior to imaging to examine the…20$240$5.2K
    A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries10$410$4.6K
    J2785Injection, regadenoson, 0.1 mg70$40$3K
    A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries50$30$1.4K
    93015The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…20$50$1.2K
    J0280Injection, aminophyllin, up to 250 mg20$10$130

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A955271050$410$17.4K
    7880311040$270$11.4K
    7845272060$210$10.1K
    A950011080$90$7.6K
    J2785210150$40$6.2K
    7831511020$230$3.9K
    7830621020$160$3.6K
    93015102020$50$1.5K
    A950311030$30$1.1K
    J0153510990$1$500

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ricardo Sein-najera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro De Cancer De La UniversidadPRSpecialist$0$3.8M
    Yamil Castillo BeauchampPRSurgery Physician$29.5K$289.3K
    Luis Borrego CondePRInternal Medicine Physician$35.7K$167.6K
    Rene BaezPRNuclear Imaging & Therapy Physician$86.3K$92.1K
    Jannisse Pagan CardonaPRNuclear Medicine Physician$74.7K$0
    Gory Ballester OrtizPRDiagnostic Radiology Physician$72.6K$0
    Antonio DiazPRMammography Clinic/Center$51.2K$0
    Juan Igartua PontonPRCardiovascular Disease Physician$49K$0
    Robert HunterPRHematology & Oncology Physician$19.7K$28.9K
    Iliana Alvarez RamirezPRDiagnostic Radiology Physician$35.1K$10.1K

    Nearby Providers

    Other providers in the same ZIP code as Ricardo Sein-najera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jose Garcia GonzalezPRRetina Specialist (Ophthalmology) Physician$1.9M$3.4M
    Recinto De Ciencias MedicasPRObstetrics & Gynecology Physician$0$3.8M
    Medical Pharmacy And LabPRExclusive Provider Organization$0$2.5M
    Metrohealth Radiation Oncology Group, Inc.PRSpecialist$0$2.5M
    Metropolitan Mri Associates PscPRNeuroradiology Physician$0$2.1M
    Pediatrics Management ServicesPRMedical Specialty Clinic/Center$0$1.8M
    Luis RodriguezPRDiagnostic Radiology Physician$2K$1.3M
    Metrohealth, Inc.PRGeneral Acute Care Hospital$0$905.1K
    Minerva NunezPRGeneral Practice Dentistry$0$761.4K
    Elizabeth Calderon-aliceaPRHematology & Oncology Physician$0$707.2K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Ricardo Sein-najera — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico