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.

Dr. Adriano Martinez Rivera - Cardiologo, C.s.p. (NPI 1548696628)

Field	Value
Entity Type	Organization
Organization	Dr. Adriano Martinez Rivera - Cardiologo, C.s.p.
Address	18 Ave Severiano Cuevas
City	Aguadilla
State	PR
ZIP	00603
Taxonomy	Medical Specialty Clinic/Center
NPI Enumerated	September 19, 2013

Payer Source	Total Paid
Medicaid	$647.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,370	$60	$300.8K
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…	680	$240	$161.3K
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…	4,730	$20	$89.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	790	$60	$49.2K
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…	210	$120	$24.7K
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…	100	$110	$11.4K
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…	150	$50	$7.8K
99442	N/A	70	$20	$1.5K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	40	$20	$900

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

Dr. Adriano Martinez Rivera - Cardiologo, C.s.p. — 1 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	84	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…	26	60	200	$110	$65.2K
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…	49	90	120	$110	$56.3K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	43	900	360	$30	$42.5K
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…	1,973	3,230	330	$10	$42.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	54	530	100	$70	$22.9K
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…	25	410	390	$20	$21.7K
99442	N/A	295	450	130	$10	$9K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	7	10	30	$30	$8.1K

Nearby Providers

Other providers in the same ZIP code as Dr. Adriano Martinez Rivera - Cardiologo, C.s.p., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fidel De Frias Jimenez	PR	Anatomic Pathology & Clinical Pathology Physician	$5.5K	$3.3M
Aguadilla Eye Md Psc	PR	Ophthalmology Physician	$0	$3.3M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Hiram Vera Arocho	PR	Dentist	$0	$2.7M
Clinica De Medicina Fisica Y Electrodiagnostico Inc.	PR	Physical Therapy Clinic/Center	$0	$1.4M
Laboratorio Clinico De Diego Corp	PR	Clinical Medical Laboratory	$13.7K	$1.1M
Gerardo Ortiz Hernandez	PR	General Practice Physician	$3K	$829.8K
Oscar F Cordero Of Dental Csp	PR	Dentist	$0	$800.5K
Dr. Nelson A. Mercado Castro, Csp	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$765.9K
Neurosleep Puerto Rico LLC	PR	Sleep Medicine (Psychiatry & Neurology) Physician	$0	$709K

Dr. Adriano Martinez Rivera - Cardiologo, C.s.p. — Billing Profile & Reimbursement Data

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Dr. Adriano Martinez Rivera - Cardiologo, C.s.p. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References