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NPI 1437268083 · Caguas, PR · Orthopaedic Surgery Physician
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Luis Miranda Torres is a orthopaedic surgery physician provider located in Caguas, Puerto Rico. This profile covers 9 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Luis Miranda Torres |
| Address | 201 Calle Gautier Benitez |
| City | Caguas |
| State | PR |
| ZIP | 00725 |
| Taxonomy | Orthopaedic Surgery Physician |
| NPI Enumerated | August 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $9.6K |
| Medicaid | $4.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 60 | $60 | $3.4K |
| 20611 | In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe… | 50 | $70 | $3.3K |
| 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… | 10 | $90 | $950 |
| 76882 | The provider uses ultrasound for a limited study of one or more nonvascular structures in an extremity. The image appears in real time on a monitor, and a permanent copy is made and documented in the… | 20 | $30 | $780 |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 30 | $20 | $500 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 50 | $10 | $240 |
| 73030 | This particular procedure is for a minimum of 2 X–ray views of the complete shoulder. | 30 | $10 | $180 |
| 73562 | In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area. | 20 | $10 | $130 |
| 99441 | N/A | 20 | $10 | $120 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 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… | 80 | $50 | $3.5K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 20 | $30 | $540 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,304 | 3,230 | 330 | $10 | $42.4K |
| 99243 | The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at… | 133 | 150 | 110 | $30 | $24.3K |
Other providers in the same ZIP code as Luis Miranda Torres, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Laboratorio Clinico Borinquen, Inc | PR | Clinical Medical Laboratory | $1.4M | $37.1M |
| Msl Therapeutical Services, Psc | PR | Occupational Therapist | $0 | $12.8M |
| Laboratorio Clinico Bairoa Inc | PR | Clinical Medical Laboratory | $271.3K | $11.3M |
| Centro Medico Del Turabo Inc | PR | Multi-Specialty Clinic/Center | $0 | $10.8M |
| Mediko Imaging Inc. | PR | Radiology Clinic/Center | $0 | $6.8M |
| Consolidated Radiology Complex Csp | PR | Radiology Clinic/Center | $0 | $6.8M |
| Caribbean Heart Institute LLC | PR | Clinical Cardiac Electrophysiology Physician | $0 | $5.7M |
| Nuscan Csp | PR | Nuclear Medicine Physician | $0 | $5.5M |
| Conmed Laboratories Inc | PR | Clinical Medical Laboratory | $105.5K | $5.4M |
| Sps Specialty Pharmacy Services Inc | PR | Specialty Pharmacy | $0 | $4.2M |
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