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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCossma Inc
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    Cossma Inc — Billing Profile & Reimbursement Data

    NPI 1437235793 · Cidra, PR · Primary Care Clinic/Center

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    Cossma Inc is a primary care clinic/center provider located in Cidra, Puerto Rico. This profile covers 0 Medicare and 225 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCossma Inc
    AddressAve El Jibaro Carr 172 Km 13 5
    CityCidra
    StatePR
    ZIP00739
    TaxonomyPrimary Care Clinic/Center
    NPI EnumeratedOctober 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    225 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…172,500$1$517.5K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth10,340$30$279.1K
    D1999N/A13,670$20$205K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.27,520$10$192.7K
    99212The 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,…30,320$10$151.6K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.13,330$10$146.6K
    D0120Periodic oral evaluation - established patient8,720$10$122.1K
    D0272N/A8,210$10$114.9K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.2,770$40$105.1K
    D2150Amalgam - two surfaces, primary or permanent2,120$40$74.2K

    Showing 1–10 of 225

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    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    225 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92507The 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…1231402,620$50$505.7K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.410780$60$276.6K
    S9083Global fee urgent care centers35501,520$40$206K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…1311501,180$70$170.3K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.710260$130$103.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…137350540$50$96.4K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…871802,150$20$95.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…6356501,260$40$93.7K
    99283The 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.258500220$40$79.5K
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.102080$70$75.4K

    Showing 1–10 of 225

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sherry Santiago-castroPRNeurology with Special Qualifications in Child Neurology Physician$0$1.5M
    Jaime Diaz CorreaPRGeneral Practice Dentistry$0$691.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    CyrcorpPRRadiologic Technologist$0$1.7M
    Cidra Medical Labs IncPRClinical Medical Laboratory$1.3K$1.6M
    Clinica Cardiovascular Md C S PPRCardiovascular Disease Physician$0$1.2M
    Jocelyn Montalvo OrtizPRNeurology with Special Qualifications in Child Neurology Physician$0$1.1M
    Andral St. FleurPRGeneral Practice Physician$0$871.3K
    Centro De Terapia Fisica Y Clinica Del Dolor, CspPRPhysical Therapist$0$758.8K
    Inspira Behavioral Care Corp.PRAdult Mental Health Clinic/Center$0$712K
    Christian Hernandez CuevasPRGeneral Practice Physician$0$682.5K
    Hablemos Centro De Habilitacion Y Rehabilitacion Del Habla-lenguajecrlPRSpeech-Language Pathologist$0$680.4K
    Laboratory Medicine Services IncorporatedPRClinical Medical Laboratory$3.2K$616.6K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Cossma Inc — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico