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.

Joel Ramos Ayala (NPI 1457344509)

Field	Value
Entity Type	Individual
Organization	Joel Ramos Ayala
Address	Calle Parana 1716
City	San Juan
State	PR
ZIP	00926
Taxonomy	In Vivo & In Vitro Nuclear Medicine Physician
NPI Enumerated	August 24, 2005
NPI Deactivated	March 27, 2006

Payer Source	Total Paid
Medicare	$14K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	30	$330	$8.4K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	50	$80	$4.5K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20	$30	$660
J1245	Injection, dipyridamole, per 10 mg	100	$1	$310
J0280	Injection, aminophyllin, up to 250 mg	20	$10	$160

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Joel Ramos Ayala — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
78452	15	20	60	$210	$10.1K
A9500	8	10	80	$90	$7.6K
96374	1	10	20	$30	$650
J1245	2	10	100	$1	$180
J0280	1	10	20	$10	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neftali Rodriguez Santiago	PR	Cardiovascular Disease Physician	$46K	$0
Wilberto Guzman Alvarado	PR	Cardiovascular Disease Physician	$32K	$1.8K

Nearby Providers

Other providers in the same ZIP code as Joel Ramos Ayala, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farmacia Doral, Inc.	PR	Specialty Pharmacy	$0	$115.6M
Grupo Neonatal C.s.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$6M
Aps Clinics Of Puerto Rico, Inc.	PR	Adult Mental Health Clinic/Center	$0	$5.7M
Alejandro Marmolejo	PR	General Practice Physician	$2.5K	$2.1M
Bvr Ambulance Best Care Inc	PR	Land Ambulance	$10.2K	$1.6M
Jan Rodriguez Ferrer	PR	Internal Medicine Physician	$60.6K	$1.4M
Nuvasive Pr, Inc.	PR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Rebeca Cuebas	PR	Pediatrics Physician	$0	$1M
Cck Medical Csp	PR	Cardiovascular Disease Physician	$0	$983K
Renato Rivera	PR	Family Medicine Physician	$0	$886.7K

Joel Ramos Ayala — Billing Profile & Reimbursement Data

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Joel Ramos Ayala — 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