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.

Metro Santurce, Inc. (NPI 1467417865)

Metro Santurce, Inc. is a general acute care hospital provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 26 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Metro Santurce, Inc.
Address	1462 Prof Augusto Rodriguez
City	San Juan
State	PR
ZIP	00910
Taxonomy	General Acute Care Hospital
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicaid	$701.4K
Medicare	$0

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	3,340	$30	$86.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	480	$150	$71.4K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	260	$270	$69.2K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	1,740	$40	$60.8K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	7,310	$10	$51.2K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	2,500	$20	$49.9K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	690	$60	$41.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	530	$80	$39.5K
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	920	$40	$37.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	2,920	$10	$26.3K

Showing 1–10 of 26

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

Metro Santurce, Inc. — 0 of 25 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	48	80	900	$110	$242K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	54	70	730	$110	$178.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	120	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	65	180	890	$70	$145.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	47	80	1,150	$50	$125.5K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	74	130	480	$90	$109.4K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	9	30	100	$310	$109.3K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	137	230	510	$60	$61K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	26	230	410	$40	$51.9K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	77	220	290	$60	$47.2K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roberto Munoz-marin	PR	Specialist	$65.9K	$0
Armando Bonnet-mercier	PR	Diagnostic Radiology Physician	$62.5K	$0
Julio Valentin Nieves	PR	Interventional Cardiology Physician	$13.1K	$0
Ivan Dominguez	PR	Vascular Surgery Physician	$12.9K	$0
Daniel Mendez	PR	Body Imaging Physician	$12.1K	$0
Angela Mendez De Guzman	PR	Diagnostic Radiology Physician	$10.6K	$0
Elena Alvarez Westwood	PR	Diagnostic Radiology Physician	$6.4K	$0
Manuel Perez-gonzalez	PR	Diagnostic Ultrasound Physician	$5.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Cheleuitte Semidey	PR	General Practice Physician	$1.7K	$708.4K
Jose Fumero	PR	Orthopaedic Surgery Physician	$11.3K	$96.7K
Luis Rios	PR	Orthopaedic Surgery Physician	$10.1K	$75.5K
Luis Cabrera De La Matta	PR	Family Medicine Physician	$37.1K	$0
Harold Stoddard Latorre	—	Internal Medicine Physician	$28.5K	$0
Jean Gallardo Varela	PR	Pain Medicine Physician	$19.8K	$8.4K
Yamil Rivera-colon	PR	Orthopaedic Surgery of the Spine Physician	$20.6K	$0

Metro Santurce, Inc. — Billing Profile & Reimbursement Data

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Metro Santurce, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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