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    OpenPayerNPI Medicare & MedicaidMigrant Health Center Western Region,inc
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    Migrant Health Center Western Region,inc — Billing Profile & Reimbursement Data

    NPI 1609969286 · Mayaguez, PR · Federally Qualified Health Center (FQHC)

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    Migrant Health Center Western Region,inc is a federally qualified health center (fqhc) provider located in Mayaguez, Puerto Rico. This profile covers 0 Medicare and 309 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
    OrganizationMigrant Health Center Western Region,inc
    AddressCalle Ramon Emeterio Betances 497
    CityMayaguez
    StatePR
    ZIP00680
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedOctober 2, 2006

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

    Payer SourceTotal Paid
    Medicaid$2.4M
    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.

    309 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…186,060$1$186.1K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.16,620$10$166.2K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…157,310$1$157.3K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.23,000$10$115K
    97802The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the…9,170$10$110.1K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2,880$30$86.5K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…7,530$10$82.8K
    90472This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.7,420$10$81.6K
    87591The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.1,690$40$74.2K
    87491The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.1,720$40$73.7K

    Showing 1–10 of 309

    • More pages

    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

    309 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    76641In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.169180890$70$145.5K
    87536A lab tests a patient’s specimen to measure the amount of HIV–1 present. This may be referred to as viral load.2240250$80$140.8K
    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,…2656501,260$40$93.7K
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…1117702,520$20$65.5K
    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…176230510$60$61K
    D1110Prophylaxis - adult; cleaning and polishing of the teeth2349901,060$30$53.1K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1108102,350$10$52.7K
    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.182220290$60$47.2K
    99050In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.35901,090$10$47K
    76536The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.139170310$60$46.5K

    Showing 1–10 of 309

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Migrant Health Center Western Region,inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Migrant Health Center Western Region,incPRClinical Medical Laboratory$5.2K$4.8M
    Rodolfo Ramirez CarreroPRSpecialist$0$1.4M
    Migrant Health Center, Western Region Inc.PRClinical Medical Laboratory$0$634.5K
    Josue Vazquez DelgadoPRDiagnostic Radiology Physician$26.4K$0
    Rafael VaquerPRDiagnostic Radiology Physician$25.3K$0
    Francisco Gomez GoytiaPRDiagnostic Radiology Physician$8K$0

    Nearby Providers

    Other providers in the same ZIP code as Migrant Health Center Western Region,inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Metro Mayaguez IncPRGeneral Acute Care Hospital$0$4.9M
    Alameda Prosthodontic Services, PscPRProsthodontics$0$3.9M
    Oscar MunizPROral and Maxillofacial Pathology Dentistry$0$3.5M
    Juan GarciaPROral and Maxillofacial Surgery (Dentist)$0$2.9M
    Centro Neumologico Del OestePRPulmonary Disease Physician$0$2.2M
    Lynette Baez TorresPROphthalmology Physician$0$1.9M
    Laboratorio Clinico Irizarry Guasch IncPRClinical Medical Laboratory$0$1.6M
    Jesus Romero PerezPRDiagnostic Radiology Physician$8.1K$1.4M
    Laboratorio Clinico Irizarry Guasch IncPRClinical Medical Laboratory$164.2K$1.2M
    Gustavo Almodovar-mercadoPROtolaryngology Physician$15K$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.

    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
    Migrant Health Center Western Region,inc — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico