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.

Vitreo Retinal Consultants, Psc (NPI 1457497992)

Field	Value
Entity Type	Organization
Organization	Vitreo Retinal Consultants, Psc
Address	2 Ave. Km 11.3
City	Bayamon
State	PR
ZIP	00959
Taxonomy	Specialist
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	7,380	$70	$524.1K
C9257	Injection, bevacizumab, 0.25 mg	1,410	$340	$486.1K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,550	$130	$206.5K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	190	$430	$79.7K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	6,440	$10	$70.8K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	2,320	$10	$32.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	260	$120	$30K
92226	N/A	3,340	$1	$10K
92225	N/A	900	$10	$6.3K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	1,110	$10	$5.6K

Showing 1–10 of 13

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

Vitreo Retinal Consultants, Psc — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	4	10	90	$370	$235.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	12	30	1,090	$130	$222.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	20	350	540	$50	$96.4K
C9257	Injection, bevacizumab, 0.25 mg	5	20	350	$50	$61.8K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	9	80	650	$20	$43.1K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	320	440	370	$40	$38.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	71	200	120	$80	$30.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	134	160	420	$20	$26.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	10	10	80	$60	$18.2K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	27	90	450	$10	$17.8K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vitreo Retinal Consultants, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Boada	PR	Retina Specialist (Ophthalmology) Physician	$43K	$0

Nearby Providers

Other providers in the same ZIP code as Vitreo Retinal Consultants, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ct Radiology Complex, LLC	PR	Diagnostic Radiology Physician	$0	$6.2M
Ruben Diaz - Rodriguez	PR	Pediatric Cardiology Physician	$0	$3.9M
Pk Industries Corp	PR	Oxygen Equipment & Supplies (DME)	$0	$3.3M
Doctors Center Hospital Bayamon Inc	PR	General Acute Care Hospital	$0	$3.1M
Laboratorios Clinico Bayamon Inc	PR	Clinical Medical Laboratory	$14K	$2.5M
Bayamon Medical Center Corp	PR	General Acute Care Hospital	$0	$2.3M
New Vision Medical Diagnostics Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Centro De Patologia Avanzada De Pr Csp	PR	Clinical Pathology/Laboratory Medicine Physician	$0	$1.8M
Stereotactic Breast Center Psc	PR	Ambulatory Surgical Clinic/Center	$0	$1.3M
Santiago Coste-sibilia	PR	Gastroenterology Physician	$4.2K	$1.3M

Vitreo Retinal Consultants, Psc — Billing Profile & Reimbursement Data

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Vitreo Retinal Consultants, Psc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References