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.

Consolidated Radiology Complex Csp (NPI 1679542393)

Key Findings

Field	Value
Entity Type	Organization
Organization	Consolidated Radiology Complex Csp
Address	202 Calle Gautier Benitez
City	Caguas
State	PR
ZIP	00725
Taxonomy	Radiology Clinic/Center
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicaid	$6.8M
Medicare	$0

CONSOLIDATED RADIOLOGY COMPLEX CSP is operating primarily as a high‑volume radiology clinic with a pronounced breast‑imaging focus: its top three Medicaid CPT codes are 76641, 77066, and 77067, which together account for 51.3% of the provider’s total Medicaid revenue. The individual code revenues are concentrated — 76641 generates $1.5M (23.2% of Medicaid revenue), 77066 generates $935.1K (14.3%), and 77067 generates $898.2K (13.8%) — indicating that mammography and breast ultrasound services are the core service line. This code mix aligns with a clinic that handles both diagnostic and screening breast exams at scale rather than a narrow or single‑procedure practice.

Payer mix is effectively single‑payer Medicaid: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $6.8M. The absence of Medicare billing suggests the organization either does not participate in Medicare or does not bill Medicare directly, making Medicaid the dominant and operationally critical revenue source for this practice. That concentration materially shapes the provider’s exposure to state Medicaid policy and reimbursement changes.

Several specific codes show the provider is a dominant statewide performer in selected modalities. 76641 ranks #4 of 183 providers in-state (98th percentile; extreme outlier) and 76536 ranks #3 of 172 providers (99th percentile; extreme outlier), reflecting outsized ultrasound volume for breast and head/neck soft tissue imaging. High state rankings for 77066 (#5 of 133, 97th percentile; notably above typical) and 77067 (#14 of 153, 91th percentile; notably above typical) further confirm market leadership in breast imaging relative to in‑state peers.

Modalities beyond breast imaging are also notable: the practice reports substantial activity in abdominal and pelvic ultrasound codes such as 76700 ($406.7K, ranks #7 of 225, 97th percentile; notably above typical) and 76830 ($404.4K, ranks #7 of 220, 97th percentile; notably above typical), and in pelvic ultrasound 76856 ($186.8K, ranks #7 of 157, 96th percentile). This pattern indicates a broad ultrasound service line that supports OB/GYN and general abdominal imaging referrals in addition to breast imaging.

The provider also records significant advanced imaging volumes in MRI and CT: 72148 (lumbar MRI) generated $326.2K and ranks #2 of 36 in-state (97th percentile; notably above typical), 73721 (lower extremity MRI) generated $268.3K and ranks #2 of 34 (97th percentile; notably above typical), and 70553 (brain MRI with and without contrast) produced $209.6K. These rankings show the clinic offers both routine ultrasound/mammography and higher‑acuity cross‑sectional imaging, suggesting an integrated imaging center rather than a single‑modality outpatient site.

The provider is not uniformly dominant across all imaging categories; several CT and some radiograph codes are only typical to modest in-state contributors. For example, 74177 (CT abdomen and pelvis with contrast) produced $151.5K and ranks #42 of 67 (38th percentile; typical, unremarkable volume), and 76881 (complete joint ultrasound) produced $53.9K and ranks #19 of 30 (38th percentile; typical, unremarkable volume). This contrast indicates strength in breast and ultrasound services with more limited competitive presence in certain CT and musculoskeletal ultrasound niches.

Tenure and operational footprint are established: the NPI was enumerated on 2006-03-15 (~20 years ago), which indicates a long‑standing presence in the market and likely established referral pathways with Medicaid‑covered populations. Combined with the concentrated Medicaid revenue ($6.8M) and outsized state rankings on core codes, the provider appears to be a stable, high‑volume regional imaging center.

From a business risk/opportunity perspective, the heavy revenue concentration in three codes that make up 51.3% of Medicaid revenue is a double‑edged sword: it creates negotiating leverage as a key Medicaid imaging vendor but also concentrates reimbursement risk if breast‑imaging volumes or rates change. The provider’s statewide percentile outlier status on several ultrasound and breast imaging codes positions it as a strategically important in‑state asset for payers seeking imaging capacity, while also making its financial performance sensitive to modality‑specific reimbursement or utilization shifts.

Medicaid: Complete Services Breakdown

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

50 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	12,040	$130	$1.5M
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	6,780	$140	$935.1K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	8,240	$110	$898.2K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	4,520	$90	$406.7K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	4,440	$90	$404.4K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	4,560	$80	$378.5K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	1,800	$180	$326.2K
73721	In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.	1,370	$200	$268.3K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	660	$320	$209.6K
76856	A pelvic ultrasound is a noninvasive procedure used to assess body parts such as the bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland, and seminal…	2,280	$80	$186.8K

Showing 1–10 of 50

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

Consolidated Radiology Complex Csp — 11 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

50 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	60	80	900	$110	$242K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	42	70	730	$110	$178.7K
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	14	150	1,180	$70	$170.3K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	4	180	890	$70	$145.5K
77066	The provider performs X–ray imaging on both breasts in a patient with a lump or suspected cancer and may use specially designed computer software to help identify or diagnose potential abnormalities…	5	130	480	$90	$109.4K
76881	In this procedure, the provider uses ultrasound to examine the complete joint for any defect or abnormality. The image appears in real time on a monitor, and a permanent image with interpretation is…	19	30	950	$60	$96.9K
77049	The provider obtains images of both breasts by applying an external magnetic field and radiofrequency waves to create three–dimensional images, with and without contrast; he may also perform…	4	10	150	$250	$79.4K
76816	The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.	9	20	80	$70	$75.4K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	4	20	40	$210	$65.6K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	7	230	510	$60	$61K

Showing 1–10 of 50

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Borinquen, Inc	PR	Clinical Medical Laboratory	$1.4M	$37.1M
Msl Therapeutical Services, Psc	PR	Occupational Therapist	$0	$12.8M
Laboratorio Clinico Bairoa Inc	PR	Clinical Medical Laboratory	$271.3K	$11.3M
Centro Medico Del Turabo Inc	PR	Multi-Specialty Clinic/Center	$0	$10.8M
Mediko Imaging Inc.	PR	Radiology Clinic/Center	$0	$6.8M
Caribbean Heart Institute LLC	PR	Clinical Cardiac Electrophysiology Physician	$0	$5.7M
Nuscan Csp	PR	Nuclear Medicine Physician	$0	$5.5M
Conmed Laboratories Inc	PR	Clinical Medical Laboratory	$105.5K	$5.4M
Sps Specialty Pharmacy Services Inc	PR	Specialty Pharmacy	$0	$4.2M
Advanced Hematology And Oncology Of Puerto Rico	PR	Hematology & Oncology Physician	$0	$3.6M

Consolidated Radiology Complex Csp — Billing Profile & Reimbursement Data

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Consolidated Radiology Complex Csp — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References