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.

Jorge Rivera-herrera (NPI 1447211677)

Field	Value
Entity Type	Individual
Organization	Jorge Rivera-herrera
Address	Cond San Jorge # 252
City	Santurce
State	PR
ZIP	00912
Taxonomy	Urology Physician
NPI Enumerated	March 29, 2006

Payer Source	Total Paid
Medicare	$62.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3315	Injection, triptorelin pamoate, 3.75 mg	110	$300	$32.5K
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…	300	$60	$17.9K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	20	$190	$4.1K
99442	N/A	50	$70	$3.3K
99441	N/A	80	$40	$2.7K
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…	20	$80	$1.6K
96402	In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.	20	$30	$570

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Jorge Rivera-herrera — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3315	1	10	100	$300	$29.2K
99213	27	1,530	50	$60	$4.2K
52000	4	20	20	$180	$3.4K
99442	6	30	20	$50	$2K
99203	226	480	20	$70	$1.8K
99441	5	20	30	$30	$1.2K
96402	3	10	30	$20	$700

Related Providers

Other providers that share a Tax Identification Number (TIN) with Jorge Rivera-herrera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edilberto Martinez	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Lauren Lynch	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Adm Servicios Medicos De Puerto Rico	PR	Emergency Medicine Physician	$0	$1.2M
Nestor Sanchez Colon	PR	Dermatopathology Physician	$34.6K	$992.5K
Rene Vazquez - Botet	PR	Ophthalmology Physician	$0	$912K
Hector Ramos-fuentes	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$656.4K
Jose Martinez Toro	PR	Specialist	$37.6K	$412.3K
Guillermo Vazquez Andino	PR	Infectious Disease Physician	$34.6K	$285.6K
Eduardo Amy Torres	PR	Orthopaedic Surgery Physician	$1.8K	$193.5K
Giovanni Casillas	PR	Otology & Neurotology Physician	$9.7K	$145K

Nearby Providers

Other providers in the same ZIP code as Jorge Rivera-herrera, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grupo Intensivo Pediatrico De San Juan	PR	Pediatric Critical Care Medicine Physician	$0	$5.5M
Ghp C.s.p.	PR	Pediatrics Physician	$0	$3.6M
Villegas LLC	PR	Ophthalmology Physician	$0	$1.3M
Felix J Seda Ent Psc	PR	Pediatric Otolaryngology Physician	$0	$1.3M
San Jorge Children's Medical Specialties,psc	PR	Oncology Clinic/Center	$0	$1.2M
Luis Font	PR	Pediatric Endocrinology Physician	$0	$836.4K
San Jorge Associates	PR	Anesthesiology Physician	$0	$656.6K
Rafael Trinidad Hernandez	PR	Endocrinology, Diabetes & Metabolism Physician	$14.1K	$173.5K
Edwardo Ramos Cortes	PR	Physical Medicine & Rehabilitation Physician	$19.3K	$134.4K
Jaime Pinero-pares	PR	General Practice Physician	$41K	$0

Jorge Rivera-herrera — Billing Profile & Reimbursement Data

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Jorge Rivera-herrera — 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