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    OpenPayerNPI Medicare & MedicaidSan Francisco Health System Inc
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    San Francisco Health System Inc — Billing Profile & Reimbursement Data

    NPI 1598798811 · San Juan, PR · General Acute Care Hospital

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    San Francisco Health System Inc is a general acute care hospital provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 33 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 TypeOrganization
    OrganizationSan Francisco Health System Inc
    Address371 De Diego Ave
    CitySan Juan
    StatePR
    ZIP00923
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJuly 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.3M
    Medicare$0

    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.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…11,340$40$396.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.2,620$100$248.8K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.2,460$50$130.3K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…1,350$80$101.5K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…8,090$10$72.8K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…610$110$66.1K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…1,510$40$57.2K
    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…550$100$55.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…6,400$10$44.8K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…1,430$20$30.1K

    Showing 1–10 of 33

    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

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.2480900$110$242K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.5170730$110$178.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.28801,150$50$125.5K
    87426The 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,…6186501,260$40$93.7K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.208500220$40$79.5K
    76700An 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…93230510$60$61K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10460200$50$60.3K
    76830The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.161220290$60$47.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…42500130$90$43.1K
    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…2,5233,230330$10$42.4K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with San Francisco Health System Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ubaldo Santiago BuonoPRGeriatric Medicine (Internal Medicine) Physician$11.5K$1.2M
    Ricardo RiveraPRDiagnostic Radiology Physician$155.8K$0
    Jeffrey ZuckermanPRDiagnostic Radiology Physician$131.1K$2.1K
    Fernando Lopez RodriguezPRNeuroradiology Physician$41.6K$37.6K
    Josue Vazquez DelgadoPRDiagnostic Radiology Physician$26.4K$0
    Carmen Alvarez-villarPRDiagnostic Radiology Physician$15.4K$0
    Anibal Feliciano DelizPRInternal Medicine Physician$14.9K$0
    Diana Fernandez GarciaPRBody Imaging Physician$11.9K$0
    Angela Mendez De GuzmanPRDiagnostic Radiology Physician$10.6K$0
    Francisco Gomez GoytiaPRDiagnostic Radiology Physician$8K$0

    Nearby Providers

    Other providers in the same ZIP code as San Francisco Health System Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centro Sononuclear De Rio PiedrasPRNuclear Medicine Physician$0$2.4M
    Global Vytronics PscPRClinical Medical Laboratory$0$1.2M
    Departamento De Salud OficialPRClinical Medical Laboratory$0$1M
    Municipality Of San Juan PrPRLand Ambulance$41.3K$812.2K
    Mariana Cruz ManzanoPRDermatology Physician$7.6K$715.7K
    Clinica Dental Barbosa IncPRGeneral Practice Dentistry$0$689.5K
    Carlos Vives AlvaradoPROphthalmology Physician$16K$345.5K
    Magaly Flores VerdejoPRClinical Medical Laboratory$11K$305.4K
    Jorge ToroPRNuclear Imaging & Therapy Physician$255.8K$0
    Rene Ramirez-ortizPRPh.D. Medical Genetics$3.1K$176.6K

    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.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    San Francisco Health System Inc — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico