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.

Wilmer Valentin Gonzalez (NPI 1427048420)

Field	Value
Entity Type	Individual
Organization	Wilmer Valentin Gonzalez
Address	8 Ave Las Cumbres
City	Guaynabo
State	PR
ZIP	00969
Taxonomy	Specialist
NPI Enumerated	October 21, 2005

Payer Source	Total Paid
Medicare	$26K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	120	$60	$7.9K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	40	$130	$5.6K
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…	50	$80	$4.2K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	50	$70	$4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	20	$150	$2.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$40	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Wilmer Valentin Gonzalez — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	205	1,530	50	$60	$4.2K
29581	1	10	50	$70	$4K
93970	10	50	20	$110	$3K
93880	60	90	20	$120	$2.8K
99212	47	160	30	$40	$1.8K
99203	38	480	20	$70	$1.8K

Nearby Providers

Other providers in the same ZIP code as Wilmer Valentin Gonzalez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elderly Transportation Services, LLC	PR	Transportation Broker	$0	$25.7M
Rmc Orthopedic & Surgical, Inc.	PR	Prosthetic/Orthotic Supplier	$0	$7.5M
Surgical Solutions-j.a. Puerto Rico, Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$7.1M
Bless Therapy Place Psc	PR	Hearing and Speech Clinic/Center	$0	$3.7M
Elderly Transportation Services Management LLC	PR	Transportation Broker	$0	$3.4M
Osvaldo Niebla Diaz	PR	General Practice Physician	$2.9K	$3.1M
Four Molar Psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$3M
Ccs Psc	PR	Cardiovascular Disease Physician	$0	$2.3M
Johnson & Johnson Medical Caribbean	PR	Prosthetic/Orthotic Supplier	$0	$2.2M
J.e.r.i. Cardiomed, P.s.c.	PR	Cardiovascular Disease Physician	$0	$1.1M

Wilmer Valentin Gonzalez — Billing Profile & Reimbursement Data

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Wilmer Valentin Gonzalez — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References