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.

Servicios Medicos Integrados De Fajardo, P.s.c. (NPI 1407001829)

Servicios Medicos Integrados De Fajardo, P.s.c. is a general practice physician provider located in Fajardo, Puerto Rico. This profile covers 0 Medicare and 268 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	Servicios Medicos Integrados De Fajardo, P.s.c.
Address	I24 Calle Principal
City	Fajardo
State	PR
ZIP	00738
Taxonomy	General Practice Physician
NPI Enumerated	November 26, 2008

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

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

268 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	16,780	$40	$587.2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5,150	$80	$422.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6,480	$60	$382.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4,620	$60	$290.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	2,870	$90	$267.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	203,540	$1	$203.5K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	2,870	$50	$155.1K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3,940	$10	$31.5K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	10,020	$1	$30.1K
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…	4,070	$10	$28.5K

Showing 1–10 of 268

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

Servicios Medicos Integrados De Fajardo, P.s.c. — 11 of 25 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

268 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9097	Home visit for wound care	18	20	4,150	$70	$761.3K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	133	140	2,620	$50	$505.7K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	36	210	380	$210	$230.1K
Q0084	Chemotherapy administration by infusion technique only, per visit	64	70	900	$80	$219.9K
64640	Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.	3	10	1,410	$110	$163.5K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	7	10	2,630	$60	$154.8K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	14	180	890	$70	$145.5K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	59	70	750	$80	$138K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	4	20	50	$590	$105.5K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	19	390	290	$80	$96.8K

Showing 1–10 of 268

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Y De Ref De Fajardo Inc	PR	Clinical Medical Laboratory	$26.2K	$2.8M
Centro C.i.e.h.l.o.inc.	PR	Hearing and Speech Clinic/Center	$0	$1.6M
Jrc Maxillofacial Services,psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.5M
Caribe Physicians Plaza Corporation	PR	General Acute Care Hospital	$0	$1.4M
Fajardo Imaging Inc	PR	Magnetic Resonance Imaging (MRI) Clinic/Center	$0	$1.2M
Continuum Mental Care Corp	PR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$972.3K
Jose J Lopez Agudo Oftalmologo Csp	PR	Ophthalmology Physician	$0	$763.5K
Laboratorio Clinico Fajardo, Inc.	PR	Clinical Medical Laboratory	$19.6K	$691K
Luis Arraut-ramirez	PR	Internal Medicine Physician	$0	$651.3K
Costa Este Medical Services Corp	PR	Health Maintenance Organization	$0	$637.5K

Servicios Medicos Integrados De Fajardo, P.s.c. — Billing Profile & Reimbursement Data

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Servicios Medicos Integrados De Fajardo, P.s.c. — 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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