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.

Clinical Medical Services Inc (NPI 1659363158)

Field	Value
Entity Type	Organization
Organization	Clinical Medical Services Inc
Address	20055 Calle Jose S Quinones
City	Carolina
State	PR
ZIP	00985
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	August 19, 2005

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

94 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	1,020	$380	$385.7K
A4353	Intermittent urinary catheter, with insertion supplies	1,750	$110	$192.4K
E0562	Humidifier, heated, used with positive airway pressure device	63,520	$1	$190.6K
E0601	Continuous positive airway pressure (CPAP) device	61,430	$1	$184.3K
E1392	Portable oxygen concentrator, rental	6,620	$20	$158.9K
E0607	Home blood glucose monitor	1,910	$70	$131.6K
A7030	Full face mask used with positive airway pressure device, each	5,810	$20	$104.6K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	48,850	$1	$97.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,850	$30	$85.6K
A6550	Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories	930	$90	$79.4K

Showing 1–10 of 94

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.

Claims Volume vs. Puerto Rico Distribution

Clinical Medical Services Inc — 12 of 25 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. Puerto Rico median

94 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	910	$660	$560.6K
S9494	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	8	10	1,710	$100	$394.7K
E2402	Negative pressure wound therapy electrical pump, stationary or portable	5	10	1,100	$330	$349.9K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	3	10	2,070	$50	$324.8K
A4353	Intermittent urinary catheter, with insertion supplies	2	10	820	$180	$276.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	1	10	1,670	$40	$261.6K
E0601	Continuous positive airway pressure (CPAP) device	1	10	1,480	$20	$242.9K
E0424	Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing	5	10	130	$80	$231.7K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	10	1,860	$80	$197.4K
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	1	10	1,530	$20	$180.8K

Showing 1–10 of 94

Nearby Providers

Other providers in the same ZIP code as Clinical Medical Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Piel, Inc	PR	Optometrist	$0	$3.2M
Health Laboratories Services Inc	PR	Clinical Medical Laboratory	$28.3K	$2.3M
Ada Colon-gavillan	PR	Physical Therapy Clinic/Center	$0	$1.4M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Rivera-revilla Lab LLC	PR	Clinical Medical Laboratory	$4K	$1.3M
Centro Radiodiagnostico Carolina	PR	Diagnostic Radiology Physician	$0	$1.2M
Family Medicine Group Inc.	PR	Adult Medicine Physician	$0	$1.1M
Juan Ledoux	PR	General Practice Dentistry	$0	$968K
Milab LLC	PR	Clinical Medical Laboratory	$1.9K	$889.3K
Inspira Behavioral Care Corp.	PR	Adult Mental Health Clinic/Center	$0	$789.3K

Clinical Medical Services Inc — Billing Profile & Reimbursement Data

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Clinical Medical Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References