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NPI 1679639785 · San Juan, PR · Sports Medicine (Family Medicine) Physician
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Miguel Roman-diaz is a sports medicine (family medicine) physician provider located in San Juan, Puerto Rico. This profile covers 2 Medicare and 1 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 | Miguel Roman-diaz |
| Address | 909 Calle Alameda |
| City | San Juan |
| State | PR |
| ZIP | 00923 |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| NPI Enumerated | January 1, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3K |
| Medicaid | $1.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99283 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making. | 30 | $50 | $1.4K |
| 99282 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making. | 30 | $30 | $930 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 40 | $30 | $1.2K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99285 | The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making. | 134 | 180 | 170 | $80 | $55.3K |
Other providers in the same ZIP code as Miguel Roman-diaz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Centro Sononuclear De Rio Piedras | PR | Nuclear Medicine Physician | $0 | $2.4M |
| San Francisco Health System Inc | PR | General Acute Care Hospital | $0 | $1.3M |
| Global Vytronics Psc | PR | Clinical Medical Laboratory | $0 | $1.2M |
| Departamento De Salud Oficial | PR | Clinical Medical Laboratory | $0 | $1M |
| Municipality Of San Juan Pr | PR | Land Ambulance | $41.3K | $812.2K |
| Mariana Cruz Manzano | PR | Dermatology Physician | $7.6K | $715.7K |
| Clinica Dental Barbosa Inc | PR | General Practice Dentistry | $0 | $689.5K |
| Carlos Vives Alvarado | PR | Ophthalmology Physician | $16K | $345.5K |
| Magaly Flores Verdejo | PR | Clinical Medical Laboratory | $11K | $305.4K |
| Jorge Toro | PR | Nuclear Imaging & Therapy Physician | $255.8K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.