Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidCdt De Canovanas
    Ask Trek AI about this page

    Cdt De Canovanas — Billing Profile & Reimbursement Data

    NPI 1447391685 · Canovanas, PR · Emergency Care Clinic/Center

    Customize your policy alerts

    Sign up for Cdt De Canovanas — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Cdt De Canovanas is a emergency care clinic/center provider located in Canovanas, Puerto Rico. This profile covers 0 Medicare and 25 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 7

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCdt De Canovanas
    AddressAve. Corchado Final
    CityCanovanas
    StatePR
    ZIP00729
    TaxonomyEmergency Care Clinic/Center
    NPI EnumeratedFebruary 9, 2007

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

    Payer SourceTotal Paid
    Medicaid$725K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.21,930$30$635.9K
    G9012Other specified case management service not elsewhere classified1,990$20$47.7K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…1,750$10$17.5K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.2,510$10$15.1K
    99429Use 99429 to report a preventive medicine service that does not have a specific code.7,570$1$7.6K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.330$1$1.3K
    90621The provider administers a meningococcal recombinant lipoprotein vaccine intramuscularly to prevent the patient from getting a meningococcal disease such as Neisseria meningitides, as part of a two–…90$1$90
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.40$0$0
    90620This code represents a vaccine product administered into the muscle to protect against meningococcal disease caused by serogroup B. This vaccine uses recombinant proteins and outer membrane vesicles…140$0$0
    90630N/A110$0$0

    Showing 1–10 of 25

    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

    25 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99051The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.8801,370$40$272.9K
    G9012Other specified case management service not elsewhere classified1101,990$20$47.9K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.1491701,560$10$28K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.1462101,600$10$27.7K
    99429Use 99429 to report a preventive medicine service that does not have a specific code.210120$10$26.7K
    90461In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…1870510$10$10K
    90460In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.2180550$10$9.4K
    90670This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…85180370$10$6.2K
    90649This code represents a quadrivalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against four HPV types (6, 11, 16,…2980390$10$5.6K
    90733The provider administers a quadrivalent meningococcal polysaccharide vaccine subcutaneously to protect against 4 strains of the bacteria that cause meningitis.630190$10$3K

    Showing 1–10 of 25

    Nearby Providers

    Other providers in the same ZIP code as Cdt De Canovanas, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medina Medical Transport Ems Corp.PRAmbulance$158K$2.6M
    Instituto Medico Familiar IncPRLegal Medicine$0$1.2M
    Laboratorio Clinico Canovanas IncPRClinical Medical Laboratory$0$991.3K
    Laboratorio Clinico Loiza Valley Inc.PRClinical Medical Laboratory$6K$967.7K
    Canovanas Medical Center CspPREmergency Care Clinic/Center$0$928.6K
    Vanessa Alvarado GonzalezPRGeneral Practice Physician$0$811.2K
    Rs Therapy Group, Inc.PRPhysical Therapy Clinic/Center$0$769.5K
    Laboratorio Clinico Chegar IncPRClinical Medical Laboratory$2.3K$765.3K
    Loiza Valley Mr & Ct CenterPRDiagnostic Radiology Physician$0$650.3K
    Fernando Lopez RodriguezPRNeuroradiology Physician$41.6K$37.6K

    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
    2 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Cdt De Canovanas — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico