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    OpenPayerNPI Medicare & MedicaidRobert Boada
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    Robert Boada — Billing Profile & Reimbursement Data

    NPI 1578527396 · Bayamon, PR · Retina Specialist (Ophthalmology) Physician

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    Robert Boada is a retina specialist (ophthalmology) physician provider located in Bayamon, Puerto Rico. This profile covers 8 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Boada
    Address1845 Carr 2 Ste 810
    CityBayamon
    StatePR
    ZIP00959
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicare$43K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.30$390$12.2K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…180$70$11.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.90$80$7.4K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.150$30$4.5K
    J3490Unclassified drugs70$40$2.4K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…130$20$2.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$90$1.7K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…30$10$360

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6721011030$400$11.9K
    6702861060$90$7.7K
    920121015050$60$4.3K
    92004447020$100$2.9K
    92134106050$30$2.2K
    J349011040$40$1.6K
    9220144040$20$900
    92202326030$10$640

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitreo Retinal Consultants, PscPRSpecialist$0$1.5M

    Nearby Providers

    Other providers in the same ZIP code as Robert Boada, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ct Radiology Complex, LLCPRDiagnostic Radiology Physician$0$6.2M
    Ruben Diaz - RodriguezPRPediatric Cardiology Physician$0$3.9M
    Pk Industries CorpPROxygen Equipment & Supplies (DME)$0$3.3M
    Doctors Center Hospital Bayamon IncPRGeneral Acute Care Hospital$0$3.1M
    Laboratorios Clinico Bayamon IncPRClinical Medical Laboratory$14K$2.5M
    Bayamon Medical Center CorpPRGeneral Acute Care Hospital$0$2.3M
    New Vision Medical Diagnostics IncPRClinical Medical Laboratory$0$1.9M
    Centro De Patologia Avanzada De Pr CspPRClinical Pathology/Laboratory Medicine Physician$0$1.8M
    Stereotactic Breast Center PscPRAmbulatory Surgical Clinic/Center$0$1.3M
    Santiago Coste-sibiliaPRGastroenterology Physician$4.2K$1.3M

    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
    Robert Boada — 1 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico