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.

Adriana Mendez Sanchez (NPI 1548508252)

Field	Value
Entity Type	Individual
Organization	Adriana Mendez Sanchez
Address	770 Ave Hostos
City	Mayaguez
State	PR
ZIP	00682
Taxonomy	Neurology with Special Qualifications in Child Neurology Physician
NPI Enumerated	January 30, 2013

Payer Source	Total Paid
Medicaid	$835.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	780	$360	$278.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,520	$130	$199.5K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,140	$170	$189.4K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	810	$210	$168.3K

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

Adriana Mendez Sanchez — 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. Puerto Rico median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	4	30	200	$260	$82.9K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	4	20	170	$140	$56K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	63	280	210	$30	$43.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	16	160	90	$90	$31.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Rosario Sepulveda	PR	Cardiovascular Disease Physician	$2.8K	$357K
Humberto Olivencia	PR	Internal Medicine Physician	$10.7K	$0
Jorge Vera Quinones	PR	Family Medicine Physician	$7.3K	$0
Luis Muniz	PR	Urology Physician	$6.2K	$0
Karines Rivera Marrero	PR	Anesthesiology Physician	$2.1K	$0

Nearby Providers

Other providers in the same ZIP code as Adriana Mendez Sanchez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc	PR	General Acute Care Hospital	$0	$7.1M
West Eye Specialists, LLC	PR	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
West Cardio General Anesthesia Csp	PR	Anesthesiology Physician	$0	$2.3M
Hgr Paramedic Transport Inc	PR	Ambulance	$20K	$722.4K
Jose A. Cancio Md, C.s.p.	PR	Specialist	$0	$624.1K
Juan Almodovar	PR	Ophthalmology Physician	$11.3K	$509.5K
Myrna E Montalvo Castillo	PR	Clinical Medical Laboratory	$12.4K	$393.2K
Walgreen Co	PR	Pharmacy	$106.7K	$0
Alberto Guardiola	PR	Ophthalmology Physician	$22.6K	$83.8K
Monica Egozcue-dionisi	PR	Pulmonary Disease Physician	$11.5K	$26K

Adriana Mendez Sanchez — Billing Profile & Reimbursement Data

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Adriana Mendez Sanchez — 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