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.

Edwin Irizarry (NPI 1427304880)

Field	Value
Entity Type	Individual
Organization	Edwin Irizarry
Address	23 Calle Enrique Sanabria
City	Adjuntas
State	PR
ZIP	00601
Taxonomy	Audiologist
NPI Enumerated	August 3, 2012

Payer Source	Total Paid
Medicare	$1.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	30	$20	$580
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	30	$20	$550
92550	The provider uses this global service code, which bundles tympanometry and reflex threshold measurement when the provider performs both tests to evaluate the middle ear and inner ear, respectively,…	20	$10	$200

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Edwin Irizarry — 0 of 3 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

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92557	14	30	20	$30	$920
92588	14	30	30	$20	$910
92550	1	10	20	$20	$230

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Precision Hearing Center Inc	PR	Audiologist	$0	$7.3M
Lynette Rios Rodriguez	PR	Physical Therapist	$29.9K	$46.8K
Sandra Sevillano	PR	Physical Therapist	$10.8K	$0
Yaixa Velez Hernandez	PR	Physical Therapist	$5.8K	$0
Lissette Delgado Gonzalez	PR	Audiologist	$4.4K	$0

Nearby Providers

Other providers in the same ZIP code as Edwin Irizarry, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Santiago Irizarry Inc	PR	Clinical Medical Laboratory	$0	$2.9M
Alberto Colon-alvarado	PR	Diagnostic Radiology Physician	$0	$1.1M
Centro Cardiovascular De La Montana,csp	PR	Cardiovascular Disease Physician	$0	$1.1M
Manuel Torres-perez	PR	General Practice Dentistry	$0	$797.6K
Laboratorio Clinico Adjuntas	PR	Clinical Medical Laboratory	$2K	$685.9K

Edwin Irizarry — Billing Profile & Reimbursement Data

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Edwin Irizarry — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References