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.

Concilio De Salud Integral De Loiza, Inc. (NPI 1558664102)

Concilio De Salud Integral De Loiza, Inc. is a federally qualified health center (fqhc) provider located in Loiza, Puerto Rico. This profile covers 0 Medicare and 214 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Concilio De Salud Integral De Loiza, Inc.
Address	Carretera #187 Int.#188 Loiza, Pr, 00772
City	Loiza
State	PR
ZIP	00772
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	December 20, 2010

Payer Source	Total Paid
Medicaid	$2.2M
Medicare	$0

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

214 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	3,510	$60	$214K
90396	Report this code for the supply of intramuscular human varicella–zoster immune globulin to prevent and boost immunity against chickenpox.	210	$1,030	$211.2K
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…	125,470	$1	$125.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	17,900	$10	$125.3K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	10,610	$10	$106.1K
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…	3,280	$30	$88.6K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	1,350	$60	$86.3K
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…	1,230	$70	$84.9K
90649	This code represents a quadrivalent human papillomavirus (HPV) vaccine product administered into the muscle to protect against HPV infection. The vaccine protects against four HPV types (6, 11, 16,…	4,650	$20	$79.1K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	1,500	$40	$61.3K

Showing 1–10 of 214

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

Concilio De Salud Integral De Loiza, Inc. — 9 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

214 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	88	140	2,620	$50	$505.7K
76811	The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…	19	20	910	$110	$303K
88142	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	45	50	370	$20	$247.3K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	37	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	76	180	890	$70	$145.5K
87536	A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.	40	40	250	$80	$140.8K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	97	130	480	$90	$109.4K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	392	650	1,260	$40	$93.7K
90396	Report this code for the supply of intramuscular human varicella–zoster immune globulin to prevent and boost immunity against chickenpox.	2	10	210	$210	$77.6K
88141	The physician analyzes and interprets a cervical or vaginal cytopathology specimen, using any reporting system, such as Bethesda or non–Bethesda. This code is for the professional interpretation by…	20	20	810	$20	$72.8K

Showing 1–10 of 214

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Zuckerman	PR	Diagnostic Radiology Physician	$131.1K	$2.1K
Armando Bonnet-mercier	PR	Diagnostic Radiology Physician	$62.5K	$0
Josue Vazquez Delgado	PR	Diagnostic Radiology Physician	$26.4K	$0
Luis Melendez-morales	PR	Vascular & Interventional Radiology Physician	$6.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Ocean Blue, Inc.	PR	Clinical Medical Laboratory	$0	$1.1M
Es Physical Therapy	PR	Physical Therapist	$0	$676.9K

Concilio De Salud Integral De Loiza, Inc. — Billing Profile & Reimbursement Data

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Concilio De Salud Integral De Loiza, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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