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.

Yatzmellie Vega Bonet (NPI 1417242868)

Field	Value
Entity Type	Individual
Organization	Yatzmellie Vega Bonet
Address	2205 Carr 115
City	Rincon
State	PR
ZIP	00677
Taxonomy	Internal Medicine Physician
NPI Enumerated	June 14, 2011

Payer Source	Total Paid
Medicare	$109.2K
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single‑payer Medicare: the lifetime Medicare revenue is $109.2K and there is none (no Medicaid billing on file), indicating no recorded Medicaid activity on state claims files. Analysts should treat the entity as Medicare-dependent for scale and payer exposure.

Revenue is highly concentrated in a small set of inpatient evaluation-and-management codes: the precomputed top three Medicare codes (99233, 99239, 99223) account for 91.0% of this provider’s total Medicare revenue. Individually those codes generate $65K (99233, 59.5%), $18.5K (99239, 16.9%), and $16K (99223, 14.6%) respectively, so changes to hospital inpatient volumes or coding for these services would materially affect overall revenue.

The code mix points to an inpatient hospital practice focus: 99233 (subsequent inpatient care), 99223 (initial high-complexity inpatient visit), and 99239 (discharge day management) are the dominant revenue drivers. High claim counts for these codes — 699 claims for 99233 and 205 claims for 99239 — reinforce that the provider’s workflow centers on inpatient follow-up and discharge management rather than outpatient office-based primary care.

Competitive standing is mixed by code: 99233 activity ranks #4192 of 128818 nationally (97th percentile), a strong national position described in the source data as notably above typical national volume; 99239 likewise ranks #4095 of 62398 (93th percentile) and is also described as notably above typical national volume. By contrast 99223 ranks #20420 of 139583 (85th percentile) and is characterized as typical, unremarkable volume, indicating that the provider is an especially active national outlier for certain subsequent and discharge services but otherwise a more typical participant for high‑complexity initial inpatient visits.

Average payments per claim vary across the top codes and align with clinical complexity: 99223 has the highest avg paid/claim at $133, while 99233 and 99239 average $93 and $90 paid/claim respectively. Those per-claim values, combined with the heavy volume of 99233, explain why 99233 contributes the single largest share ($65K) of the provider’s Medicare revenue.

Procedures outside the top three are limited contributors but highlight role breadth: 99497 (advanced care planning) appears with 116 claims and $6.8K revenue and is ranked #5474 of 27157 (80th percentile) with a typical, unremarkable volume label, suggesting routine use of care‑planning conversations alongside inpatient duties. 99232 appears lower-volume by comparison (47 claims, $3K revenue, rank #119179 of 177383, 32th percentile) and does not materially move the revenue needle.

The provider has an established enrollment history with an NPI enumerated on 2011-06-14 (~15 years ago), indicating long tenure in Medicare billing. That tenure combined with concentrated inpatient code volumes may reflect an entrenched role within hospital-based inpatient care workflows rather than a newer or rapidly shifting practice profile.

From a risk and operational perspective, the provider’s heavy reliance on three inpatient E/M codes (91.0% of Medicare revenue) creates sensitivity to changes in hospital admission patterns, discharge protocols, or payer edits for those specific codes. Analysts and contract managers should flag the provider for monitoring of inpatient volume trends and any policy changes affecting 99233, 99239, and 99223 reimbursement or utilization.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	700	$90	$65K
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…	210	$90	$18.4K
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…	120	$130	$16K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	120	$60	$6.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$60	$3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Yatzmellie Vega Bonet — 2 of 5 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1	170	70	$90	$9.4K
99232	150	220	80	$60	$7.9K
99239	1	40	30	$90	$5.3K
99223	11	200	20	$130	$4.9K
99497	2	10	90	$60	$4.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Yatzmellie Vega Bonet, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rolando Dominguez Mustafa	FL	Adult Medicine Physician	$644.3K	$0
Bijan Moradi	FL	Critical Care Medicine (Internal Medicine) Physician	$361.4K	$0
Perwaiz Rahim	FL	Pulmonary Disease Physician	$216K	$0
Mukti Patel-prineas	CT	Family Medicine Physician	$144K	$0
Michael Wilson	AL	Critical Care Medicine (Internal Medicine) Physician	$131.9K	$0
Jahangir Ahmed	UT	Nephrology Physician	$96.9K	$0
Hesham Hassaballa	IL	Critical Care Medicine (Internal Medicine) Physician	$69.6K	$17.4K
Benjamin Solomon	PA	Pulmonary Disease Physician	$67.5K	$0
Daniyal Ansari	CT	Internal Medicine Physician	$63.7K	$0
Shoaib Arif	NY	Hospitalist Physician	$62.3K	$620

Nearby Providers

Other providers in the same ZIP code as Yatzmellie Vega Bonet, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Costa Salud Community Health Centers, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$1.1M
Costa Salud Community Health Centers, Inc.	PR	Clinical Medical Laboratory	$1.7K	$665.1K
Hj Asociados	PR	Clinical Medical Laboratory	$5.1K	$265.9K

Yatzmellie Vega Bonet — Billing Profile & Reimbursement Data

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Yatzmellie Vega Bonet — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References