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 Rhode Island for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Libertad Flores (NPI 1437564028)

Field	Value
Entity Type	Individual
Organization	Libertad Flores
Address	239 Cranston St
City	Providence
State	RI
ZIP	02907
Taxonomy	Obstetrics & Gynecology Physician
NPI Enumerated	June 23, 2014

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	340	$1,010	$339.7K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	430	$150	$65.8K
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…	1,450	$40	$61K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	50	$1,240	$59.3K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	420	$110	$47.1K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	430	$100	$44.4K
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	440	$80	$36.5K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	550	$60	$35.1K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	710	$40	$31.2K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	300	$100	$28.8K

Showing 1–10 of 50

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

Claims Volume vs. Rhode Island Distribution

Libertad Flores — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. Rhode Island median

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	84	120	400	$130	$896.9K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	236	280	290	$260	$296.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	175	340	370	$200	$272.8K
99283	The 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.	284	290	180	$170	$224.1K
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	39	130	140	$70	$160.8K
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	35	130	130	$70	$141.1K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	52	70	170	$170	$124.4K
87624	The lab analyst performs a test to determine the presence of human papillomavirus, or HPV. The provider uses nucleic acid detection for high–risk types and produces a pooled result.	18	40	250	$80	$123K
87150	The lab analyst performs an analysis using amplified DNA or RNA probe technique on a previously isolated and identified organism to categorize the organism more specifically, such as to the taxonomic…	9	10	40	$90	$117.3K
88175	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	16	50	240	$60	$115.8K

Showing 1–10 of 50

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Affinity Physicians LLC.	RI	Internal Medicine Physician	$0	$41.8M
Blackstone Valley Community Health Care	RI	Federally Qualified Health Center (FQHC)	$0	$14.2M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$13.4M
Blackstone Valley Community Health Care, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$12.4M
The Providence Community Health Centers, Inc.	RI	Federally Qualified Health Center (FQHC)	$0	$8.3M
Beata Nelken	RI	Pediatrics Physician	$0	$4.2M
Zobeida Diaz	RI	Psychiatry Physician	$0	$4M
Erica Knarr	RI	Dentist	$0	$3.5M
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Chelsy Caren	RI	Obstetrics & Gynecology Physician	$0	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Independence Health Services, LLC	RI	Home Health Agency	$0	$40.4M
Haigh Ventures, Inc	RI	Home Health Agency	$0	$28.9M
Elmwood Adult Day Health Care Center	RI	Adult Day Care Clinic/Center	$0	$13.8M
Abraham Home Care Provider LLC	RI	In Home Supportive Care Agency	$0	$11.7M
Jammat Housing And Community Development Corporation	RI	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Saint Elizabeth Assisted Living, L.P.	RI	Assisted Living Facility	$0	$5M
Raising Hope, Inc	RI	Home Health Agency	$0	$4.9M
Susan Hart	RI	Addiction Medicine (Internal Medicine) Physician	$0	$3.9M
Victa LLC	RI	Addiction Medicine (Internal Medicine) Physician	$57.6K	$3.7M
Providence Physical Therapy Associates, Inc.	RI	Physical Therapy Clinic/Center	$0	$3.4M

Libertad Flores — Billing Profile & Reimbursement Data

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Libertad Flores — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References