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NPI 1639124977 · Guaynabo, PR · Pulmonary Function Technologist
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Ppluis Echegaray is a pulmonary function technologist provider located in Guaynabo, Puerto Rico. This profile covers 9 Medicare and 6 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ppluis Echegaray |
| Address | Maramar Plaza 1250 |
| City | Guaynabo |
| State | PR |
| ZIP | 00968 |
| Taxonomy | Pulmonary Function Technologist |
| NPI Enumerated | May 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $95.7K |
| Medicaid | $11.3K |
The provider’s billing mix and taxonomy (Pulmonary Function Technologist) point to a practice centered on pulmonary diagnostics plus ambulatory evaluation and management. On Medicare the top three codes are 99214 ($48.5K, 50.6%), 94375 ($13.3K, 13.8%), and 94729 ($8.8K, 9.2%), and those three codes together account for 73.7% of this provider’s total Medicare revenue; this combination of high-volume E/M and pulmonary function testing indicates the operation couples clinic visits with on-site diagnostic testing.
Revenue concentration on Medicare is high and skewed toward a single E/M code and a small number of PFT procedures. Code 99214 alone represents $48.5K (50.6%) of Medicare revenue and the precomputed top-3 share is 73.7%, signaling reliance on a handful of services for the bulk of Medicare income; 99214’s national standing is listed as #36452 of 479517 (92th percentile; typical, unremarkable volume for this code), suggesting the E/M volume is large in dollar terms but not an extreme outlier compared with peers.
Several pulmonary function test codes show above-typical national volume on Medicare, consistent with a testing-focused practice footprint. For example, 94375 has 510 claims and $13.3K revenue and ranks #63 of 1633 providers nationally (96th percentile; notably above typical national volume), and 94200 has 509 claims and $5.1K revenue and ranks #13 of 383 providers nationally (97th percentile; notably above typical national volume), which together indicate the provider is relatively prominent at performing objective PFT procedures at the national level.
Medicaid billing is heavily concentrated and much smaller in scale than Medicare. Total Medicaid revenue is $11.3K and the top three Medicaid codes account for 83.9% of that revenue; 94375 alone is $6.8K (59.9%) of Medicaid revenue, so Medicaid activity is concentrated in respiratory flow volume loop testing rather than broad ambulatory care.
Competitive standing diverges between payers: on Medicare the provider shows national-level strength on specific PFT codes but more typical volumes for core E/M codes, while on Medicaid the provider is a modest in-state participant. Medicare PFT codes such as 94375 and 94200 are described as “notably above typical national volume” (94375: 96th percentile; 94200: 97th percentile), whereas Medicaid ranks for the same PFT code are comparatively low in-state (94375: #22 of 34 in-state, 36th percentile; 99204: #472 of 525, 9th percentile), indicating limited Medicaid market share.
The payer mix is Medicare-dominant in absolute scale: Total Medicare revenue is $95.7K versus Total Medicaid revenue of $11.3K, so Revenue from Medicare far exceeds Medicaid for this provider, and the business appears effectively Medicare-focused in lifetime billing.
Tenure on file shows long-standing enrollment: the NPI was enumerated on 2006-05-24 (approximately 20 years ago), indicating the provider has an established presence in Medicare/Medicaid billing and is not a recent registrant.
Operationally, the combination of high-count diagnostic PFT codes (94375, 94200, 94729, 94727) together with frequent E/M encounters (99214, 99204) and vaccine administration codes (G0008, 90688) suggests a clinic or testing lab model that integrates pulmonary function testing with face-to-face patient evaluation and preventive services rather than a role limited to remote testing or a single-procedure center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 590 | $80 | $48.5K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 510 | $30 | $13.3K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 210 | $40 | $8.8K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 60 | $110 | $6.9K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 210 | $30 | $6.3K |
| 94200 | The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps… | 510 | $10 | $5.1K |
| G0008 | Administration of influenza virus vaccine | 110 | $30 | $3.3K |
| 90688 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose. | 110 | $20 | $2.2K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 10 | $130 | $1.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
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
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 |
|---|---|---|---|---|
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 120 | $60 | $6.8K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 10 | $140 | $1.9K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 10 | $60 | $830 |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 20 | $50 | $720 |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 20 | $40 | $570 |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 110 | $10 | $550 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 22 | 30 | 350 | $50 | $75.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 869 | 900 | 360 | $30 | $42.5K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 472 | 530 | 100 | $70 | $22.9K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 36 | 40 | 190 | $50 | $14.9K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 48 | 50 | 190 | $40 | $13.1K |
| 94760 | The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger. | 34 | 50 | 160 | $1 | $2K |
Other providers in the same ZIP code as Ppluis Echegaray, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Alivia Specialty, LLC | PR | Specialty Pharmacy | $0 | $189M |
| Medtronic Puerto Rico Operations | PR | Durable Medical Equipment & Medical Supplies | $0 | $19.7M |
| Cuerpo De Emergencias Medicas De | PR | Land Ambulance | $108.2K | $9.4M |
| Ortho & Surgical Solutions, Inc | PR | Prosthetic/Orthotic Supplier | $0 | $7.8M |
| Santa Merle | PR | Hematology & Oncology Physician | $4.5K | $2M |
| Bard Shannon Limited | PR | Prosthetic/Orthotic Supplier | $0 | $1.2M |
| Guaynabo Ambulatory Surgical Group, Inc | PR | Ambulatory Surgical Clinic/Center | $275K | $53.4K |
| Ricardo Hernandez-castillo | PR | Pulmonary Disease Physician | $28.6K | $211.9K |
| Maria De Aranzazu Villamil Jarauta | PR | Endocrinology, Diabetes & Metabolism Physician | $42.3K | $151.8K |
| Juan Malpica-santiago | PR | Pulmonary Disease Physician | $33.2K | $148.3K |
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