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.

Pedro Perez (NPI 1588740559)

Field	Value
Entity Type	Individual
Organization	Pedro Perez
Address	Calle Jose C Vazquez
City	Aibonito
State	PR
ZIP	00705
Taxonomy	General Practice Physician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$668K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99234	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	6,230	$90	$566.7K
99217	N/A	1,830	$40	$71.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	1,740	$10	$17.4K
99218	N/A	220	$50	$10.2K
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	10	$130	$1.8K
51702	The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…	10	$40	$480

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

Pedro Perez — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99235	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	160	160	310	$120	$81.8K
99234	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	3	220	320	$80	$66.7K
99218	N/A	54	120	180	$50	$26.2K
99217	N/A	4	50	90	$30	$14.8K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	58	510	210	$10	$7.8K
51702	The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…	8	10	60	$20	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mennonite General Hospital Inc	PR	Specialist	$0	$8.3M
Mennonite General Hospital Inc	PR	General Acute Care Hospital	$0	$2.8M
Carlene Cadiz Fuentes	PR	Obstetrics & Gynecology Physician	$0	$1.2M
Wilfredo De Jesus Rojas	PR	Pediatric Pulmonology Physician	$0	$1.2M
Jorge Colon Martinez	PR	General Practice Physician	$0	$729.7K
Fabio Ricci Gorbea	PR	Internal Medicine Physician	$2.1K	$630.9K
Walisbeth Class-vazquez	PR	Gastroenterology Physician	$7.7K	$492.6K
Jesus Rodriguez Rodriguez	PR	General Practice Physician	$6.6K	$224.2K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K
Jeffrey Zuckerman	PR	Diagnostic Radiology Physician	$131.1K	$2.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandra Gracia-lopez	PR	Nuclear Medicine Physician	$26.7K	$4.1M
Arecibo Pathology Services Csp	PR	Anatomic Pathology & Clinical Pathology Physician	$0	$3.8M
Clinica Oftalmica De La Montana, C.s.p.	PR	Exclusive Provider Organization	$0	$2M
Marie Lugo	PR	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$1.1K	$1.7M
Vital-care Medical Center L.L.C.	PR	Multi-Specialty Clinic/Center	$0	$1.3M
Juan Raya	PR	General Practice Physician	$0	$1.1M
Clinica De Manejo Del Dolor Dr Crawford W Long C S P	PR	Pain Medicine (Anesthesiology) Physician	$0	$1M
Nestor Sanchez Colon	PR	Dermatopathology Physician	$34.6K	$992.5K
Janice Del C Rolon Marrero	PR	Clinical Medical Laboratory	$2.2K	$951.2K
Jose Garcia	PR	Cardiovascular Disease Physician	$7.5K	$939.7K

Pedro Perez — Billing Profile & Reimbursement Data

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Pedro Perez — 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