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.

Julio Peguero Rivera (NPI 1619969698)

Field	Value
Entity Type	Individual
Organization	Julio Peguero Rivera
Address	25 Calle Betances
City	Santa Isabel
State	PR
ZIP	00757
Taxonomy	Surgical Critical Care Physician
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicare	$1.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99153	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…	80	$10	$760
99152	The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…	30	$10	$300

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

Claims Volume vs. Puerto Rico Distribution

Julio Peguero Rivera — 1 of 2 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. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99152	6	20	20	$20	$710
99153	1	10	30	$10	$330

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cesar Hernandez-arroyo	PR	Nephrology Physician	$9.7K	$0
Carlos Claudio-rodriguez	PR	Nephrology Physician	$7.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro De Hematologia Y Oncologia Del Sur, Csp	PR	Oncology Clinic/Center	$0	$6.2M
Municipio De Santa Isabel	PR	Emergency Care Clinic/Center	$0	$1.9M
San Blas Health Care Inc	PR	Clinical Medical Laboratory	$0	$1.4M
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$1.4M
Alba I. Rivera Torres	PR	Clinical Medical Laboratory	$3.8K	$1.1M
Jaime Ongay Rullan	PR	General Practice Physician	$0	$952.9K
Servicios Fisiatricos Raber	PR	Physical Medicine & Rehabilitation Physician	$0	$804K
Celiade Lourdes Feliciano	PR	Optometrist	$0	$634.1K
Cristobal Rivera Ramos	PR	Internal Medicine Physician	$19.1K	$19.7K
Silfredo Silvestrini	PR	Foot & Ankle Surgery Podiatrist	$3.1K	$9.5K

Julio Peguero Rivera — Billing Profile & Reimbursement Data

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Julio Peguero Rivera — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References