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.

Municipio De Isabela (NPI 1477696805)

Field	Value
Entity Type	Organization
Organization	Municipio De Isabela
Address	Ave. Agustin R Calero
City	Isabela
State	PR
ZIP	00662
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicaid	$806.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

54 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	3,380	$50	$155.7K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	16,680	$10	$133.4K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9,640	$10	$106K
0002A	N/A	2,300	$30	$75.8K
0001A	N/A	2,500	$30	$62.6K
0003A	N/A	950	$40	$36K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	340	$100	$32.7K
90651	This code represents a nonavalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against nine HPV types (6, 11, 16, 18,…	3,830	$10	$23K
90670	This code represents a pneumococcal vaccine product administered into the muscle to protect against 13 types of pneumococcal bacteria that can cause serious infections like pneumonia, meningitis, and…	2,530	$10	$15.2K
0071A	N/A	400	$40	$14.8K

Showing 1–10 of 54

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

Municipio De Isabela — 5 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

54 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	22	80	1,370	$40	$272.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	41	60	240	$100	$147.6K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	129	340	210	$70	$81.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	378	500	220	$40	$79.5K
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…	133	230	510	$60	$61K
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.	105	220	290	$60	$47.2K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	159	170	310	$60	$46.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	9	170	1,560	$10	$28K
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…	176	260	850	$10	$27.8K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9	210	1,600	$10	$27.7K

Showing 1–10 of 54

Related Providers

Other providers that share a Tax Identification Number (TIN) with Municipio De Isabela, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Pedro Gonzalez Torres	PR	Diagnostic Radiology Physician	$38.1K	$0
Josue Vazquez Delgado	PR	Diagnostic Radiology Physician	$26.4K	$0

Nearby Providers

Other providers in the same ZIP code as Municipio De Isabela, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Miguel Frontera-philippi	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$1.7M
Isaac Calero	PR	Dentist	$0	$1.3M
B.m.laboratory,inc.	PR	Clinical Medical Laboratory	$760	$1.1M
J&adentalpsc	PR	Dentist	$0	$1.1M
Jose Bachier	PR	General Practice Dentistry	$0	$737.4K
Julia Juarbe	PR	General Practice Dentistry	$0	$621.6K
Laboratorio Cardona Lamela, Inc.	PR	Clinical Medical Laboratory	$13.8K	$472.6K
Yarsellis Frometa Delgado	PR	Certified Registered Nurse Anesthetist	$7.3K	$0

Municipio De Isabela — Billing Profile & Reimbursement Data

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Municipio De Isabela — 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