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.

Yamil Rivera-colon (NPI 1427088822)

Field	Value
Entity Type	Individual
Organization	Yamil Rivera-colon
Address	1395 San Rafael Apdo 11338
City	San Juan
State	PR
ZIP	00910
Taxonomy	Orthopaedic Surgery of the Spine Physician
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicare	$20.6K
Medicaid	$0

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
22840	The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.	10	$600	$6.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	50	$90	$4.4K
22853	The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…	20	$200	$3.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$130	$3.4K
61783	In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…	10	$180	$2.6K

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

Yamil Rivera-colon — 0 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
22853	3	10	30	$160	$7.7K
22840	2	10	10	$560	$7.2K
99214	222	470	50	$80	$6.6K
99204	49	200	20	$110	$2.7K
61783	1	10	10	$180	$2.6K

Nearby Providers

Other providers in the same ZIP code as Yamil Rivera-colon, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Cheleuitte Semidey	PR	General Practice Physician	$1.7K	$708.4K
Metro Santurce, Inc.	PR	General Acute Care Hospital	$0	$701.4K
Jose Fumero	PR	Orthopaedic Surgery Physician	$11.3K	$96.7K
Luis Rios	PR	Orthopaedic Surgery Physician	$10.1K	$75.5K
Luis Cabrera De La Matta	PR	Family Medicine Physician	$37.1K	$0
Harold Stoddard Latorre	—	Internal Medicine Physician	$28.5K	$0
Jean Gallardo Varela	PR	Pain Medicine Physician	$19.8K	$8.4K

Yamil Rivera-colon — Billing Profile & Reimbursement Data

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Yamil Rivera-colon — 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