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NPI 1447480918 · Mayaguez, PR · Otolaryngology Physician
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Gustavo Almodovar-mercado is a otolaryngology physician provider located in Mayaguez, Puerto Rico. This profile covers 5 Medicare and 7 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 | Gustavo Almodovar-mercado |
| Address | 55 Calle De Diego E Ste 205 |
| City | Mayaguez |
| State | PR |
| ZIP | 00680 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | July 19, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.3M |
| Medicare | $15K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 40 | $130 | $5.7K |
| 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 | $3.2K |
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 20 | $180 | $3.2K |
| 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… | 30 | $70 | $2.3K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 20 | $30 | $530 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 1,910 | $190 | $356.6K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 2,320 | $150 | $355K |
| 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… | 3,210 | $80 | $256.4K |
| 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… | 3,310 | $60 | $208.3K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 290 | $330 | $94.9K |
| 31233 | The provider perforates the canine fossa or inferior meatus to advance an endoscope into the maxillary sinus. She then opens the maxillary sinus to perform a diagnostic endoscopy. | 80 | $410 | $32.4K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 160 | $30 | $5K |
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
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 31233 | The provider perforates the canine fossa or inferior meatus to advance an endoscope into the maxillary sinus. She then opens the maxillary sinus to perform a diagnostic endoscopy. | 3 | 10 | 530 | $190 | $128.1K |
| 31525 | The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect any abnormality. He may or may not perform tracheoscopy to visualize the trachea, which is the… | 2 | 10 | 290 | $170 | $123.8K |
| 31237 | In this procedure, the provider inserts an endoscope into the nasal cavity. She examines the nasal contents. The provider then performs a nasal biopsy, polypectomy, or debridement. | 1 | 10 | 140 | $340 | $55.4K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 1 | 20 | 170 | $150 | $48.6K |
| 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… | 523 | 3,230 | 330 | $10 | $42.4K |
| 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… | 50 | 1,400 | 160 | $50 | $29.6K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 16 | 30 | 150 | $30 | $10.3K |
Other providers in the same ZIP code as Gustavo Almodovar-mercado, ranked by combined Medicare and Medicaid revenue.
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