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    OpenPayerNPI Medicare & MedicaidRosangela Fernandez Medero
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    Rosangela Fernandez Medero — Billing Profile & Reimbursement Data

    NPI 1568565893 · Caguas, PR · Pulmonary Disease Physician

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    Rosangela Fernandez Medero is a pulmonary disease physician provider located in Caguas, Puerto Rico. This profile covers 4 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRosangela Fernandez Medero
    Address100 Ave Luis Munoz Marin
    CityCaguas
    StatePR
    ZIP00725
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedSeptember 5, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$13.5K
    Medicare$6.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…40$100$3.5K
    99213The 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…20$70$1.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$100$1.1K
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…20$10$290

    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

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921429547050$80$6.6K
    992131,3931,53050$60$4.2K
    9922214415020$100$2.4K
    9466481040$10$510

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The 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…140$90$11.9K
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…150$10$910
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.150$10$730

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The 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…574900360$30$42.5K
    94664The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…3660170$10$5.3K
    94760The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.3150160$1$2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro Medico Del Turabo IncPRMulti-Specialty Clinic/Center$0$10.8M
    Municipality Of San JuanPRMulti-Specialty Clinic/Center$0$4.5M
    John DanetPRPediatric Emergency Medicine (Pediatrics) Physician$0$2.7M
    Luis AcostaPRPediatrics Physician$0$2.2M
    Omayra GonzalezPRHematology & Oncology Physician$2.9K$1.6M
    Laboratorio Clinico Dr. Gualberto RabellPRClinical Medical Laboratory$0$1.5M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Jesus Romero PerezPRDiagnostic Radiology Physician$8.1K$1.4M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    Pedro Rivera CaballeroPRGeneral Practice Physician$3.1K$1.3M

    Nearby Providers

    Other providers in the same ZIP code as Rosangela Fernandez Medero, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Laboratorio Clinico Borinquen, IncPRClinical Medical Laboratory$1.4M$37.1M
    Msl Therapeutical Services, PscPROccupational Therapist$0$12.8M
    Laboratorio Clinico Bairoa IncPRClinical Medical Laboratory$271.3K$11.3M
    Mediko Imaging Inc.PRRadiology Clinic/Center$0$6.8M
    Consolidated Radiology Complex CspPRRadiology Clinic/Center$0$6.8M
    Caribbean Heart Institute LLCPRClinical Cardiac Electrophysiology Physician$0$5.7M
    Nuscan CspPRNuclear Medicine Physician$0$5.5M
    Conmed Laboratories IncPRClinical Medical Laboratory$105.5K$5.4M
    Sps Specialty Pharmacy Services IncPRSpecialty Pharmacy$0$4.2M
    Advanced Hematology And Oncology Of Puerto RicoPRHematology & Oncology Physician$0$3.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Rosangela Fernandez Medero — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico
    Medicaid Revenue by Year vs. Puerto Rico Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Rosangela Fernandez Medero — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico