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    OpenPayerNPI Medicare & MedicaidEmilio Baez Rivera
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    Emilio Baez Rivera — Billing Profile & Reimbursement Data

    NPI 1386676690 · Caguas, PR · Ophthalmology Physician

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    Emilio Baez Rivera is a ophthalmology physician provider located in Caguas, Puerto Rico. This profile covers 14 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
    OrganizationEmilio Baez Rivera
    Address81 Ave Luis Munoz Marin Ste 201
    CityCaguas
    StatePR
    ZIP00725
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$15.2K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…90$60$5.7K
    68801In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…30$70$2.2K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…20$90$1.8K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…20$50$1K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…20$50$850
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.20$30$660
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…20$30$570
    0330TThe provider assesses tear film thickness based on data from a specially designed imaging device. The provider interprets the data and provides a report with the findings.20$20$460
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…20$30$450
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…40$10$390

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920124415050$60$4.3K
    9227331020$90$3.3K
    9593021060$50$2.8K
    6880111030$70$2.2K
    92134466050$30$2.2K
    92250587040$20$1.3K
    92083336020$40$1.2K
    92133347020$20$810
    92202276030$10$640
    92020193020$20$600

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    Adm Servicios Medicos De Puerto RicoPREmergency Medicine Physician$0$1.2M
    Nestor Sanchez ColonPRDermatopathology Physician$34.6K$992.5K
    Rene Vazquez - BotetPROphthalmology Physician$0$912K
    Hector Ramos-fuentesPROral and Maxillofacial Surgery (Dentist)$0$656.4K
    Jose Martinez ToroPRSpecialist$37.6K$412.3K
    Guillermo Vazquez AndinoPRInfectious Disease Physician$34.6K$285.6K
    Eduardo Amy TorresPROrthopaedic Surgery Physician$1.8K$193.5K
    Giovanni CasillasPROtology & Neurotology Physician$9.7K$145K

    Nearby Providers

    Other providers in the same ZIP code as Emilio Baez Rivera, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Borinquen, IncPRClinical Medical Laboratory$1.4M$37.1M
    Msl Therapeutical Services, PscPROccupational Therapist$0$12.8M
    Laboratorio Clinico Bairoa IncPRClinical Medical Laboratory$271.3K$11.3M
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    Mediko Imaging Inc.PRRadiology Clinic/Center$0$6.8M
    Consolidated Radiology Complex CspPRRadiology Clinic/Center$0$6.8M
    Caribbean Heart Institute LLCPRClinical Cardiac Electrophysiology Physician$0$5.7M
    Nuscan CspPRNuclear Medicine Physician$0$5.5M
    Conmed Laboratories IncPRClinical Medical Laboratory$105.5K$5.4M
    Sps Specialty Pharmacy Services IncPRSpecialty Pharmacy$0$4.2M

    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
    Emilio Baez Rivera — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico