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.

Neomed Center, Inc. (NPI 1376920074)

Neomed Center, Inc. is a emergency care clinic/center provider located in Trujillo Alto, Puerto Rico. This profile covers 0 Medicare and 72 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Neomed Center, Inc.
Address	130 Calle Carite
City	Trujillo Alto
State	PR
ZIP	00976
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	May 1, 2015

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

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

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	38,450	$50	$1.8M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	450	$30	$14.3K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	690	$10	$6.9K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	500	$10	$5.5K
74018	Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems.	510	$10	$4.6K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	40	$40	$1.8K
70260	The provider takes a four or more views of the patient's skull, mainly for the assessment of skull fracture or any intracranial injury.	120	$20	$1.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	230	$10	$1.6K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	80	$10	$1.1K
73620	In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.	20	$20	$480

Showing 1–10 of 72

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

Neomed Center, Inc. — 1 of 14 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

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	3	80	1,370	$40	$272.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	26	60	240	$100	$147.6K
99283	The 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.	472	500	220	$40	$79.5K
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	657	770	2,520	$20	$65.5K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	192	230	510	$60	$61K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	662	810	2,350	$10	$52.7K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	238	290	170	$30	$43.8K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	253	310	190	$30	$43.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	660	790	2,360	$10	$41.9K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	705	850	3,250	$10	$40.5K

Showing 1–10 of 72

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neomed Center, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$2.7M
Neomed Center, Inc	PR	Clinical Medical Laboratory	$0	$1.7M
Sheila Colon Villarrubia	PR	Public Health & General Preventive Medicine Physician	$0	$1.2M
Zoraida Estela Jove	PR	Diagnostic Radiology Physician	$18.1K	$255.1K
Rodolfo Troche	PR	Nephrology Physician	$46.5K	$0
Carlos Mendez-buso	PR	Diagnostic Radiology Physician	$19.7K	$0
Ricardo De Jesus Gomez	PR	Diagnostic Radiology Physician	$19.6K	$0
Pedro Diaz Ortiz	PR	Neuroradiology Physician	$13.7K	$0
Monica Hernandez-pastrana	PR	General Practice Physician	$0	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nilma Lugo	PR	Physical Therapist	$0	$1.1M
Neomed Center, Inc.	PR	Clinical Medical Laboratory	$0	$1.1M
Integrated Pathology Psc	PR	Clinical Medical Laboratory	$0	$1.1M
X-radio Psc	PR	Radiology Clinic/Center	$0	$777.5K
Laboratorio Clinico Plaza Encantada Inc	PR	Clinical Medical Laboratory	$31.9K	$298.9K
Walgreen Co	PR	Pharmacy	$96.7K	$0
Walgreen Co	PR	Pharmacy	$44.4K	$0
Elimaris Fuentes Tirado	PR	Physical Therapist	$42.8K	$0
Cristian Vargas Ramos	PR	Emergency Medicine Physician	$21.3K	$0
Yaslin Torres	PR	General Practice Physician	$10.4K	$540

Neomed Center, Inc. — Billing Profile & Reimbursement Data

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Neomed Center, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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