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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFernando Rivera Cruz
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    Fernando Rivera Cruz — Billing Profile & Reimbursement Data

    NPI 1588774111 · San Juan, PR · Surgery Physician

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    Fernando Rivera Cruz is a surgery physician provider located in San Juan, Puerto Rico. This profile covers 2 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationFernando Rivera Cruz
    Address1395 Calle San Rafael
    CitySan Juan
    StatePR
    ZIP00909
    TaxonomySurgery Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$10.4K
    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    49010In this procedure, the provider examines the organs in the area located behind and outside of the back wall of the peritoneum, the membrane lining of the abdominal cavity, to determine the cause of…10$730$9.5K
    99203The provider sees a new 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 provider…10$80$900

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4901011010$730$9.5K
    9920340848020$70$1.8K

    Nearby Providers

    Other providers in the same ZIP code as Fernando Rivera Cruz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Best Option Healthcare Puerto Rico LLCPRHome Infusion Therapy Pharmacy$0$41.5M
    Vita Healthcare IncPRHome Health Agency$0$9.4M
    Eladio Perez CruzPRGastroenterology Physician$2.1K$2.5M
    Felix Lugo-adamsPRInterventional Cardiology Physician$3.7K$1.9M
    Farmacia San Rafael Santurce, IncPRCommunity/Retail Pharmacy$0$1.5M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    St Gianna PediatricsPRPediatrics Physician$0$1.3M
    Jaime Ruiz-rodriguezPRCardiovascular Disease Physician$17.7K$1.2M
    Empresas Alvaro TorresPRSpeech-Language Pathologist$0$1.1M
    Best Option Healthcare Puerto Rico LLCPRHome Health Agency$0$1.1M

    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
    Fernando Rivera Cruz — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico