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.

Hector Stella Estevez (NPI 1467422162)

Field	Value
Entity Type	Individual
Organization	Hector Stella Estevez
Address	630 Calle Aldebaran
City	San Juan
State	PR
ZIP	00920
Taxonomy	Pulmonary Disease Physician
NPI Enumerated	January 25, 2006

Payer Source	Total Paid
Medicare	$117.6K
Medicaid	$0

Key Findings

HECTOR STELLA ESTEVEZ is a Pulmonary Disease Physician based in SAN JUAN, PR with total Medicare revenue of $117.6K and no Medicaid billing on file, making his billing profile effectively single‑payer Medicare at present. The absence of Medicaid activity means analyses of payer mix should treat this provider as concentrated on Medicare revenue rather than balanced across public programs.

Revenue is highly concentrated in a very small set of services: the precomputed top three Medicare codes (99291, 99233, 99232) account for 93.3% of this provider's total Medicare revenue. The largest contributor is 99291 at 65.8% of Medicare revenue, followed by 99233 at 22.8% and 99232 at 4.8%, indicating few codes drive the lion’s share of income.

The code mix (99291, 99233, 99232) points to an inpatient and critical‑care practice model rather than outpatient clinic work: 99291 is a critical care code and 99233/99232 are subsequent hospital inpatient care codes, consistent with a pulmonary physician who provides ICU-level and follow-up inpatient management. This suggests most clinical activity and revenue derive from high-acuity, hospital-based encounters rather than routine ambulatory pulmonary visits.

99291 is an extreme statistical outlier for this provider: it ranks #682 of 71,290 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). That rank indicates an unusually large volume of billed critical care services relative to national peers and positions this provider well above most peers on that specific service line.

By contrast, 99233 and 99232 show more typical market participation: 99233 ranks #20,831 of 128,818 providers (84th percentile; typical, unremarkable volume) and 99232 ranks #84,420 of 177,383 providers (52th percentile; typical, unremarkable volume). These ranks indicate that while critical care work (99291) is exceptional, subsequent inpatient visit volumes are within expected and broadly typical ranges for hospital-based physicians.

Other inpatient E/M codes are present but represent modest shares of revenue: 99223 generated $4K (3.4% of Medicare revenue), 99239 generated $1.4K (1.2%), 99222 generated $1.3K (1.1%), and 99238 generated $1.1K (1.0%). These smaller line items reinforce that revenue is dominated by critical care and follow‑up inpatient services rather than by a diversified mix of initial, discharge, or observation codes.

The provider’s NPI was enumerated on 2006-01-25 (≈20 years ago), indicating a long-tenured billing presence in Medicare. That tenure, combined with the very high volume of 99291, suggests an established hospital practice with sustained engagement in critical care over many years.

For payer and contracting analysts, the practical implication is a concentrated, high‑intensity inpatient profile focused on Medicare; with $117.6K in Medicare revenue and no Medicaid claims on file, this provider represents a Medicare‑oriented, hospital‑based pulmonary/intensivist resource. Network planning or utilization review should treat 99291 as the primary revenue and clinical driver and recognize the absence of Medicaid activity when assessing coverage and payment strategies.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	470	$170	$77.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	290	$90	$26.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	90	$60	$5.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$4K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	20	$90	$1.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	10	$100	$1.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Hector Stella Estevez — 2 of 7 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	9	170	70	$90	$9.4K
99291	1	70	40	$170	$9K
99232	89	220	80	$60	$7.9K
99239	27	40	30	$90	$5.3K
99223	52	200	20	$130	$4.9K
99222	119	150	20	$100	$2.4K
99238	37	70	20	$60	$1.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hector Stella Estevez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mitesh Amin	VA	Cardiovascular Disease Physician	$921.2K	$2K
Rafael Lupercio	CA	Critical Care Medicine (Internal Medicine) Physician	$643.9K	$0
Jaspreet Singh	VA	Cardiovascular Disease Physician	$521.5K	$0
Radu Raducu	ND	Nephrology Physician	$466.9K	$0
Dennis Streeter	IN	Surgery Physician	$271.9K	$0
Nathaniel Zuziak	IN	Physical Medicine & Rehabilitation Physician	$270.4K	$0
Michael O'quinn	SC	Clinical Cardiac Electrophysiology Physician	$174.5K	$0
Brandon Weeks	OH	Physical Medicine & Rehabilitation Physician	$92.5K	$220
Daniel Bujanda	NM	Gastroenterology Physician	$88.4K	$0
Timothy Simrell	OR	Surgical Physician Assistant	$71.5K	$0

Nearby Providers

Other providers in the same ZIP code as Hector Stella Estevez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Absolife Fms Corp	PR	Durable Medical Equipment & Medical Supplies	$0	$23.5M
Clinica De Cirugia Oral Y Maxilofacial De Caparra Csp	PR	Oral and Maxillofacial Surgery Clinic/Center	$0	$1.1M
Laboratorio Clinico Puerto Nuevo	PR	Clinical Medical Laboratory	$510	$787.4K
Laboratorio Clinico Cdt Dr. Jose Lopez Antongiorgi	PR	Clinical Medical Laboratory	$0	$607.1K
Luis Baerga-varela	PR	Physical Medicine & Rehabilitation Physician	$63.7K	$0
Raphael Colon-hernandez	PR	Emergency Medicine Physician	$37.8K	$0
Roberto Sanchez Cordova	PR	Podiatrist	$26K	$0
Sharon Velez-maymi	PR	Endocrinology, Diabetes & Metabolism Physician	$17.3K	$0
Liza Hernandez-gonzalez	PR	Interventional Pain Medicine Physician	$12.5K	$0
Alexandra Jarrot Sierra	PR	Chiropractor	$5.2K	$0

Hector Stella Estevez — Billing Profile & Reimbursement Data

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Hector Stella Estevez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References