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NPI 1639169204 · San Juan, PR · Cardiovascular Disease Physician
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Jose Rodriguez-escudero is a cardiovascular disease physician provider located in San Juan, Puerto Rico. This profile covers 8 Medicare and 2 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 | Jose Rodriguez-escudero |
| Address | 1492 Ponce De Leon, Edificio Centro Europa |
| City | San Juan |
| State | PR |
| ZIP | 00907 |
| Taxonomy | Cardiovascular Disease Physician |
| NPI Enumerated | October 25, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $78.5K |
| Medicaid | $770 |
JOSE RODRIGUEZ-ESCUDERO is a Cardiovascular Disease Physician based in SAN JUAN, PR with an NPI enumerated on 2005-10-25 (~21 years ago), indicating long-standing enrollment in federal programs. The provider’s public revenue footprint is concentrated in fee-for-service claims rather than large institutional billing streams.
Payer mix is heavily Medicare-weighted: total Medicare revenue is $78.5K versus total Medicaid revenue of $765, so this clinician operates with an effectively single-payer footprint dominated by Medicare reimbursements. Medicaid activity is present but negligible in scale relative to Medicare.
Revenue concentration on Medicare is high: the precomputed finding shows the top 3 Medicare codes by revenue account for 84.5% of this provider's total Medicare revenue. Those three codes are 99214 ($39.5K; 50.5% of Medicare revenue), 93306 ($14.3K; 18.3%), and 93880 ($12.2K; 15.7%), which together drive the bulk of billings and imply focused clinical offerings.
The code mix suggests an ambulatory cardiology practice with an emphasis on office-based evaluation and management plus on-site cardiac and vascular diagnostics. High revenue from 99214 (established outpatient E/M), 93306 (echocardiography, professional component present), and 93880 (arterial duplex scanning) indicates the practice pairs routine clinic visits with higher-value imaging and vascular diagnostic procedures.
Competitive standing vs. national Medicare peers is modest: 99214 ranks #44960 of 479517 providers nationally (91th percentile; typical, unremarkable volume for this code), 93306 ranks #16330 of 24624 (33th percentile; typical, unremarkable volume), and 93880 ranks #5047 of 21316 (76th percentile; typical, unremarkable volume). These labels suggest the provider is an active but not dominant national player on these headline cardiology codes.
Medicaid billing is extremely concentrated and small in absolute terms: the precomputed top-3 share shows top 3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and the two listed codes—99233 ($567; 73.2%) and 93000 ($208; 26.8%)—are both low-dollar items. In-state rank positions are low (#363 of 386 for 99233, 5th percentile; #392 of 410 for 93000, 3th percentile), indicating a limited Medicaid footprint within Puerto Rico.
Operationally, volume and mix differences drive revenue patterns: 99214 appears in 526 Medicare claims with an average paid/claim of $75 and contributes $39.5K, while diagnostic codes like 93306 (129 claims, $111 avg paid/claim) and 93880 (92 claims, $133 avg paid/claim) contribute similar or greater per-claim revenue. The provider’s model appears to rely on a high volume of mid-level E/M visits supplemented by fewer, higher-paid diagnostic procedures to generate overall Medicare revenue.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 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… | 530 | $80 | $39.5K |
| 93306 | The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent… | 130 | $110 | $14.3K |
| 93880 | Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral… | 90 | $130 | $12.2K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 510 | $10 | $5.1K |
| 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… | 40 | $120 | $4.6K |
| 93224 | In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the… | 30 | $50 | $1.7K |
| 93016 | The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular… | 30 | $20 | $400 |
| 93018 | The provider analyzes and interprets the recording of the electrical activity of the heart to examine for any abnormality in its functioning, including blood pressure and electrocardiograph readings… | 30 | $10 | $250 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 20 | $30 | $570 |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 10 | $20 | $210 |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 363 | 390 | 290 | $80 | $96.8K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 392 | 410 | 390 | $20 | $21.7K |
Other providers in the same ZIP code as Jose Rodriguez-escudero, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Precision Hearing Center Inc | PR | Audiologist | $0 | $7.3M |
| Laboratorio Clinico Dr. Gualberto Rabell | PR | Clinical Medical Laboratory | $0 | $1.5M |
| Sandra Hurtado Ponce De Leon | PR | Driver | $0 | $1.3M |
| Ubaldo Santiago Buono | PR | Geriatric Medicine (Internal Medicine) Physician | $11.5K | $1.2M |
| Hope Health Psc | PR | Corporate Health Clinic/Center | $0 | $920.7K |
| Francisco Ojeda | PR | General Practice Physician | $0 | $818.2K |
| Raul Montilla | PR | Dentist | $0 | $681.7K |
| Antonio Orraca-gotay | PR | Cardiovascular Disease Physician | $42.3K | $196.7K |
| Carlos Jimenez | PR | Nuclear Medicine Physician | $236.5K | $0 |
| Nanette De Leon | PR | Ophthalmology Physician | $45.9K | $135.7K |
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