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.

Maria Diaz (NPI 1457406803)

Field	Value
Entity Type	Individual
Organization	Maria Diaz
Address	48 Goyco St.
City	Caguas
State	PR
ZIP	00725
Taxonomy	General Practice Dentistry
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$984.9K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	7,930	$30	$222K
D0120	Periodic oral evaluation - established patient	8,370	$10	$117.1K
D1999	N/A	7,700	$20	$115.5K
D0330	N/A	3,510	$30	$105.4K
D0272	N/A	5,610	$20	$84.1K
D2150	Amalgam - two surfaces, primary or permanent	1,780	$40	$69.4K
D1208	Topical application of fluoride - excluding varnish	3,400	$10	$47.6K
D2140	Amalgam - one surface, primary or permanent	1,470	$30	$42.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1,100	$40	$39.7K
D1120	Prophylaxis–child	1,870	$20	$35.5K

Showing 1–10 of 21

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.

Claims Volume vs. Puerto Rico Distribution

Maria Diaz — 4 of 21 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. Puerto Rico median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	27	990	1,060	$30	$53.1K
D1999	N/A	53	950	1,350	$10	$35.1K
D2391	Resin‑based composite – one surface, posterior	27	60	90	$40	$25.7K
D0330	N/A	27	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	25	940	880	$10	$24.2K
D0272	N/A	40	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	45	550	210	$40	$20.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	50	410	180	$40	$18.5K
D0150	Comprehensive oral evaluation – new or established patient	231	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	55	810	500	$10	$16K

Showing 1–10 of 21

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Borinquen, Inc	PR	Clinical Medical Laboratory	$1.4M	$37.1M
Msl Therapeutical Services, Psc	PR	Occupational Therapist	$0	$12.8M
Laboratorio Clinico Bairoa Inc	PR	Clinical Medical Laboratory	$271.3K	$11.3M
Centro Medico Del Turabo Inc	PR	Multi-Specialty Clinic/Center	$0	$10.8M
Mediko Imaging Inc.	PR	Radiology Clinic/Center	$0	$6.8M
Consolidated Radiology Complex Csp	PR	Radiology Clinic/Center	$0	$6.8M
Caribbean Heart Institute LLC	PR	Clinical Cardiac Electrophysiology Physician	$0	$5.7M
Nuscan Csp	PR	Nuclear Medicine Physician	$0	$5.5M
Conmed Laboratories Inc	PR	Clinical Medical Laboratory	$105.5K	$5.4M
Sps Specialty Pharmacy Services Inc	PR	Specialty Pharmacy	$0	$4.2M

Maria Diaz — Billing Profile & Reimbursement Data

Sign up for Maria Diaz — Billing Profile & Reimbursement Data policy alerts

Maria Diaz — Billing Profile & Reimbursement Data

Sign up for Maria Diaz — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References