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.

Carlos Arroyo (NPI 1487837704)

Field	Value
Entity Type	Individual
Organization	Carlos Arroyo
Address	1494 Ave Roosevelt
City	San Juan
State	PR
ZIP	00921
Taxonomy	Podiatrist
NPI Enumerated	December 10, 2007

Payer Source	Total Paid
Medicare	$13.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	200	$40	$8.3K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	60	$60	$3.4K
20550	Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.	30	$40	$1.1K
73620	In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.	40	$20	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Carlos Arroyo — 0 of 4 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

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	86	1,530	50	$60	$4.2K
99203	25	480	20	$70	$1.8K
20550	5	20	20	$40	$1K
73620	2	10	20	$20	$440

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hazel Merced Vargas	PR	Foot Surgery Podiatrist	$28.6K	$960

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jose Garcia Gonzalez	PR	Retina Specialist (Ophthalmology) Physician	$1.9M	$3.4M
Recinto De Ciencias Medicas	PR	Obstetrics & Gynecology Physician	$0	$3.8M
Medical Pharmacy And Lab	PR	Exclusive Provider Organization	$0	$2.5M
Metrohealth Radiation Oncology Group, Inc.	PR	Specialist	$0	$2.5M
Metropolitan Mri Associates Psc	PR	Neuroradiology Physician	$0	$2.1M
Pediatrics Management Services	PR	Medical Specialty Clinic/Center	$0	$1.8M
Luis Rodriguez	PR	Diagnostic Radiology Physician	$2K	$1.3M
Metrohealth, Inc.	PR	General Acute Care Hospital	$0	$905.1K
Minerva Nunez	PR	General Practice Dentistry	$0	$761.4K
Elizabeth Calderon-alicea	PR	Hematology & Oncology Physician	$0	$707.2K

Carlos Arroyo — Billing Profile & Reimbursement Data

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Carlos Arroyo — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References