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.

Oficina Medica Dr Quintero Psc (NPI 1538284393)

Key Findings

Field	Value
Entity Type	Organization
Organization	Oficina Medica Dr Quintero Psc
Address	450 Calle Ferrocarril
City	Ponce
State	PR
ZIP	00717
Taxonomy	Specialist
NPI Enumerated	March 20, 2007

Payer Source	Total Paid
Medicaid	$4.9M
Medicare	$0

OFICINA MEDICA DR QUINTERO PSC has no Medicare billing on file and reports $4.9M in lifetime Medicaid revenue, so the available claims footprint is effectively single‑payer (Medicaid) in scope. Analysts should treat Medicaid reimbursement policy and shifts in state program utilization as the primary commercial levers that will affect this provider's revenue profile.

Revenue is highly concentrated: the top 3 Medicaid codes by revenue account for 71.5% of this provider's total Medicaid revenue. Those top codes are 93306 ($1.5M revenue, 6.4K claims, $242 avg paid/claim, 31.2% of Medicaid revenue), 93458 ($1.2M revenue, 949 claims, $1290 avg paid/claim, 24.8%), and 99213 ($763.5K revenue, 17.8K claims, $43 avg paid/claim, 15.5%).

The code mix indicates a cardiology‑focused operation with both diagnostic imaging and procedural imaging/catheterization services: 93306 (echocardiography), 93458 (imaging supervision/interpretation for coronary angiography with left heart catheterization), plus high volumes of EKG/monitoring codes (93000, 93224, 93015) and vascular ultrasound codes (93886, 93880, 93925). Combined with large E/M volume (99213, 99203), this pattern is consistent with an ambulatory cardiology practice that performs in‑office diagnostics and supervises higher‑acuity cardiac imaging procedures.

Competitive standing is strong for several cardiac diagnostics in Puerto Rico: 93306 ranks #8 of 213 providers in‑state (97th percentile) and 93015 ranks #2 of 56 (98th percentile), indicating the provider is a major state‑level performer for echocardiography and stress testing. In contrast, 93458 ranks #7 of 36 in‑state (83th percentile), a middle‑to‑upper position among fewer cath/imaging peers, while E/M code 99213 ranks #129 of 3229 (96th percentile), showing unusually high ambulatory visit volume relative to most in‑state peers.

Several codes are flagged as statistical outliers in the supplied labels and the data reinforce that characterization: 99203 is described as an "extreme outlier, far above typical state volume" (4.3K claims, $54 avg, $231.8K revenue, 98th percentile), and 93000 is an "extreme outlier, far above typical state volume" (11.7K claims, $16 avg, $187.2K revenue, 99th percentile). Other codes such as 93306 and 93015 are described as "notably above typical state volume," which aligns with their high ranks and sizable contributions to Medicaid revenue.

The mix of high‑priced procedural imaging and very high E/M claim counts shows the revenue driver is not solely visit volume but also higher reimbursement per event for interventional imaging: 93458 carries a $1290 avg paid/claim while 93306 averages $242 per claim, compared with $43 avg for 99213. This suggests that while ambulatory visits generate substantial claim volume, the bulk of dollars come from a smaller number of higher‑priced cardiac imaging procedures.

The provider has a long NPI tenure, enumerated on 2007-03-20 (~19 years ago), indicating an established presence in the market. Combined with the concentrated Medicaid revenue base and repeated top‑percentile ranks on core cardiac codes, this tenure supports an interpretation of an entrenched regional cardiology service provider whose financial performance will be sensitive to utilization and reimbursement changes for those high‑impact codes.

Operational and payer‑risk implication: because the top 3 codes account for 71.5% of Medicaid revenue and include high‑cost imaging (93458) and echocardiography (93306), changes in Medicaid coverage, prior authorization, or utilization management for cardiac imaging would likely have an outsized effect on revenue. Analysts monitoring this entity should prioritize trend surveillance on those specific codes and on in‑state peer activity for cath/echo services.

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	6,370	$240	$1.5M
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	950	$1,290	$1.2M
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…	17,760	$40	$763.5K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	3,060	$100	$303.2K
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…	4,290	$50	$231.8K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	2,140	$100	$213.5K
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…	11,700	$20	$187.2K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	500	$190	$94.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	550	$150	$81.3K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	380	$190	$71K

Showing 1–10 of 24

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

Oficina Medica Dr Quintero Psc — 6 of 17 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

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	7	40	80	$680	$318.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	8	210	380	$210	$230.1K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	2	60	200	$110	$65.2K
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…	111	460	200	$50	$60.3K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	6	90	120	$110	$56.3K
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…	129	3,230	330	$10	$42.4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	9	50	80	$120	$38.5K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	11	50	60	$150	$37.4K
93970	The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…	17	70	80	$110	$37.4K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	2	10	40	$180	$31.3K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caribbean Imaging And Radiation Treatment Center,inc	PR	Multi-Specialty Clinic/Center	$0	$19.3M
Compression Health Care Inc	PR	Oxygen Equipment & Supplies (DME)	$0	$10.6M
Caribbean Cancer Care Services, LLC	PR	Medical Oncology Physician	$0	$6.5M
Pet Diagnostic Imaging Corp	PR	Radiology Clinic/Center	$0	$4.8M
Hector Velez Cortes	PR	Hematology & Oncology Physician	$4.3K	$4M
Centro Oncologico De La Mujer De Puerto Rico Csp	PR	Oncology Clinic/Center	$0	$3.8M
Caribbean Wellness Oncology, Psc	PR	Hematology & Oncology Physician	$0	$3.6M
Jose Santiago Alvarado	PR	Anatomic Pathology & Clinical Pathology Physician	$17.2K	$3.2M
Dr German Chaves Radiologo Csp	PR	Diagnostic Radiology Physician	$0	$2.9M
Lydia Irizarry Gonzalez	PR	Pediatric Endocrinology Physician	$0	$2.6M

Oficina Medica Dr Quintero Psc — Billing Profile & Reimbursement Data

Sign up for Oficina Medica Dr Quintero Psc — Billing Profile & Reimbursement Data policy alerts

Oficina Medica Dr Quintero Psc — Billing Profile & Reimbursement Data

Sign up for Oficina Medica Dr Quintero Psc — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References