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.

Rocio Rodriguez (NPI 1669528642)

Field	Value
Entity Type	Individual
Organization	Rocio Rodriguez
Address	Barbosa 252
City	Moca
State	PR
ZIP	00676
Taxonomy	Optometrist
NPI Enumerated	January 25, 2007

Payer Source	Total Paid
Medicaid	$758.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	3,660	$50	$175.6K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	4,140	$30	$119.9K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	5,320	$20	$106.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	1,910	$50	$89.8K
V2020	Frames, purchases	1,360	$70	$88.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1,600	$60	$87.8K
92100	Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the…	770	$60	$44.1K
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	1,150	$20	$23.1K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	550	$30	$15.3K
92225	N/A	130	$40	$4.4K

Showing 1–10 of 15

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

Rocio Rodriguez — 2 of 13 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	99	350	540	$50	$96.4K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	22	440	370	$40	$38.5K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	32	530	630	$20	$32K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	8	160	420	$20	$26.4K
92100	Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the…	11	40	440	$30	$19.5K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	41	90	450	$10	$17.8K
V2020	Frames, purchases	18	230	230	$40	$17.5K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	6	80	180	$30	$16.8K
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	4	20	320	$20	$11.7K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	31	40	170	$10	$9.7K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Rocio Rodriguez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dxr Solutions LLC	PR	Radiology Clinic/Center	$0	$2.8M
Lab Lorimar LLC	PR	Multi-Specialty Clinic/Center	$9.3K	$2.6M
Nicole Rivera-perez	PR	Infectious Disease Physician	$13K	$1.4M
Arelys Badillo	PR	Speech-Language Pathologist	$0	$902.2K
Laboratorio Clinico Jezer	PR	Clinical Medical Laboratory	$0	$886.9K
Laboratorio Clinico Cuba, LLC	PR	Clinical Medical Laboratory	$1.5K	$766K
Amarilys Vargas Cordero	PR	Occupational Therapist	$0	$716.8K
Terapia Fisica Movimiento Es Vida	PR	Physical Therapy Clinic/Center	$0	$700.5K
Carlos Nieves Mendez	PR	Dentist	$0	$669.7K
Laboratorio Clinico Capa Inc	PR	Clinical Medical Laboratory	$510	$608.1K

Rocio Rodriguez — Billing Profile & Reimbursement Data

Sign up for Rocio Rodriguez — Billing Profile & Reimbursement Data policy alerts

Rocio Rodriguez — Billing Profile & Reimbursement Data

Sign up for Rocio Rodriguez — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References