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.

Isamar Padilla (NPI 1437627817)

Field	Value
Entity Type	Individual
Organization	Isamar Padilla
Address	396 Luis F Sala Zona Industrial 2
City	Ponce
State	PR
ZIP	00716
Taxonomy	Clinical Psychologist
NPI Enumerated	November 5, 2018

Payer Source	Total Paid
Medicare	$97.2K
Medicaid	$0

Key Findings

ISAMAR PADILLA is a clinical psychologist in PONCE, PR, with an NPI enumerated on 2018-11-05 (~8 years ago). Lifetime Medicare revenue on file is $97.2K and there is no Medicaid billing on file, so the provider operates effectively as a single-payer (Medicare) billing entity in the available data.

Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue. Those codes are 90791 (67.5%), 90832 (30.0%), and 90834 (2.5%), indicating nearly all billed Medicare activity is captured by these three services.

The practice’s code mix signals a service model centered on psychiatric evaluations and brief psychotherapy. The provider reported 522 claims for 90791 with $126 avg paid/claim and $65.8K revenue, and 552 claims for 90832 with $53 avg paid/claim and $29.3K revenue, while 90834 appears infrequently with 33 claims, $74 avg paid/claim and $2.4K revenue. This combination points to a high volume of evaluations plus many short therapy sessions, with relatively few longer-session psychotherapy encounters.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $97.2K and there is no Medicaid billing on file. This concentration increases the provider’s operational exposure to Medicare reimbursement and policy changes, and it limits visibility into Medicaid-facing activity or different service patterns that might exist outside the Medicare population.

90791 is a national outlier for this provider: it ranks #72 of 11185 providers nationally (99th percentile) and is labeled an "extreme outlier, far above typical national volume for this code." This ranking indicates the provider is a dominant national-volume participant specifically for psychiatric evaluation services relative to peers.

90832 shows relatively high but not extreme activity: it ranks #822 of 6164 providers nationally (87th percentile) and is described as "typical, unremarkable volume for this code." That suggests the provider has a meaningful but not exceptional footprint among peers for short psychotherapy visits. Conversely, 90834 ranks #9484 of 10713 (11th percentile) and is also described as "typical, unremarkable volume for this code," indicating very limited engagement in longer psychotherapy sessions compared with national peers.

Operationally, the averages paid per claim differ across the top codes and shape revenue concentration: 90791 averaged $126 paid/claim while 90832 averaged $53 paid/claim and 90834 averaged $74 paid/claim. Those differences, together with the counts reported (522 claims for 90791, 552 for 90832, 33 for 90834), explain why 90791 produces the largest share of Medicare revenue despite similar claim counts to 90832.

For competitive and capacity analysis, the profile implies a practice workflow that emphasizes initial psychiatric evaluations followed by brief psychotherapy encounters rather than extended-session psychotherapy. The very small Medicaid footprint (no Medicaid billing on file) and concentrated Medicare code mix should be factored into any payer-contracting, network-access, or utilization-management assessments for this provider.

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
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	520	$130	$65.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	550	$50	$29.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	30	$70	$2.4K

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

Isamar Padilla — 2 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
90791	1	10	40	$120	$18.3K
90832	1	10	50	$50	$8.1K
90834	10	10	70	$70	$6.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mairelis De La Cruz Hernandez	FL	Psychiatric/Mental Health Nurse Practitioner	$491K	$0
Jesselin Tinsley	FL	Psychiatric/Mental Health Nurse Practitioner	$165.5K	$0
Antonio Anglero	FL	Psychologist	$154.7K	$0
Kimberly Whitchard	AL	Clinical Psychologist	$63.5K	$0
Fabian Consbruck	CO	Clinical Neuropsychologist	$39K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Pathology Services, Inc.	PR	Clinical Medical Laboratory	$6.2K	$5.7M
Tiber Health, Public Benefit Corporation	PR	Multi-Specialty Clinic/Center	$0	$5.1M
Pediatrix Medical Group, S.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$3.8M
Med Centro, Inc.	PR	Clinical Medical Laboratory	$0	$3.6M
Ida Y Vuelta, Inc.	PR	Non-emergency Medical Transport (VAN)	$0	$3.3M
St Lukes Episcopal Church Home Care Program	PR	Community Based Hospice Care Agency	$0	$2.9M
Saint Lukes Memorial Hospital Inc	PR	General Acute Care Hospital	$0	$2.5M
Med Centro, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$2.3M
St Lukes Episcopal Church Home Care Program	PR	Home Health Agency	$0	$2.2M
Medical X Ray Center Ponce	PR	Radiology Clinic/Center	$0	$2.1M

Isamar Padilla — Billing Profile & Reimbursement Data

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Isamar Padilla — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References