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    OpenPayerNPI Medicare & MedicaidCentro De Cancer De La Universidad
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    Centro De Cancer De La Universidad — Billing Profile & Reimbursement Data

    NPI 1689836629 · San Juan, PR · Specialist

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    Centro De Cancer De La Universidad is a specialist provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCentro De Cancer De La Universidad
    AddressPaseo Jose Celso Barbosa
    CitySan Juan
    StatePR
    ZIP00927
    TaxonomySpecialist
    NPI EnumeratedJuly 1, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.8M
    Medicare$0

    Key Findings

    CENTRO DE CANCER DE LA UNIVERSIDAD’s Medicaid billing mix is dominated by radiation oncology services: the top Medicaid codes are 77386 (IMRT delivery), 77014, and 77427 (external beam radiation), and the code descriptions indicate a practice structured around planning and delivering complex radiation therapy rather than primary care or broad outpatient services. The presence of multiple IMRT-, simulation-, and dosimetry-related codes points to a technical radiation therapy center as the core service line.

    Revenue is highly concentrated: the provider reports $3.8M in total Medicaid revenue with the precomputed top three Medicaid codes accounting for 91.6% of that total; 77386 alone generates $2.5M (65.8% of the provider’s Medicaid revenue). This level of concentration indicates that a small number of technical radiation services drive the vast majority of billed Medicaid dollars.

    The practice is effectively single‑payer in this data set: there is no Medicare billing on file while Medicaid revenue is $3.8M, so the provider’s public-payer exposure is concentrated entirely in Medicaid. This payer concentration suggests limited Medicare patient volume or contracting and represents a business risk if Medicaid policies or reimbursement change.

    77014 is a notable state-level outlier in volume and revenue: the provider reports $747.6K from 77014 (19.8% of Medicaid revenue) and ranks #1 of 7 providers in-state (100th percentile; notably above typical state volume for this code). That rank and the “notably above typical” label indicate the practice is a leading in-state source for whatever service 77014 represents and likely drives a meaningful portion of its patient throughput.

    Despite 77386 being the largest revenue generator ($2.5M, 65.8% of Medicaid revenue), the provider is not the state leader for that code: it ranks #2 of 5 providers in-state (75th percentile; typical, unremarkable volume for this code). In other words, IMRT delivery is the primary revenue engine here, but the facility is one of several mid-to-high volume IMRT providers in Puerto Rico rather than a singular dominant IMRT center.

    Ancillary technical services that support radiation delivery appear regularly in the billing mix: 77387 (imaging guidance) accounts for $153.4K (4.1% of Medicaid revenue) and ranks #2 of 9 in-state (88th percentile; typical, unremarkable volume), while 77336 (weekly medical physics consultation) contributes $94.4K (2.5% of Medicaid revenue) and ranks #3 of 10 (78th percentile; typical, unremarkable volume). These ranks and dollars indicate routine use of imaging guidance and ongoing physics oversight consistent with a technically oriented radiation practice.

    The provider shows occasional use of higher-complexity or specialized planning codes at low frequency: 77301 produced $16.8K from 13 claims (0.4% of Medicaid revenue) and ranks #2 of 2 in-state (0th percentile; typical, unremarkable volume), and codes such as 77470 ($8.5K) have no state peer volume comparison available. These small-dollar, low-claim items suggest selective use of complex planning or special procedures rather than them being a major revenue stream.

    CENTRO DE CANCER DE LA UNIVERSIDAD has an established presence based on enrollment tenure: the NPI was enumerated 2008-07-01 (~18 years ago), consistent with a long-standing specialty practice in the market. Combined with the concentrated Medicaid revenue and state-level leadership on 77014, the profile is of a mature, Medicaid-focused radiation service provider with strengths in specific procedural volumes but limited Medicare engagement.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    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 CodeDescriptionClaimsAvg PaidRevenue
    77386Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex7,420$330$2.5M
    77014N/A10,680$70$747.6K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…1,960$110$223.7K
    77387The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.5,900$30$153.4K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…1,970$50$94.4K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…10$1,300$16.8K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…210$80$16K
    77417Therapeutic radiology port films are the X–ray films, typically taken by a radiation therapist, of the treatment area.1,080$10$8.6K
    77470In this procedure, the provider performs special radiotherapy procedures requiring special consideration from the provider in the overall management of radiotherapy treatment.50$170$8.5K
    77263The provider decides the location and the number of ports (the points for the radiation beams to enter the body), the design and location of the shielding blocks, and the modes of therapy (e.g., arc…60$120$7.1K

    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.

    Full comparison — all codes billed, vs. Puerto Rico median

    15 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77386Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex2101,430$330$1.5M
    77014N/A1102,040$70$213.8K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…3101,170$110$185.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…3101,230$50$81.3K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…310170$300$55.5K
    77387The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.210250$20$47.7K
    99214The 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…631900360$30$42.5K
    77334The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.710140$160$41.6K
    77301Intensity modulated radiotherapy (IMRT) uses advanced computer technology to deliver very precise radiation beams that target and destroy the cancerous cells while avoiding the surrounding healthy…21020$1,350$27K
    99204The 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…480530100$70$22.9K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Centro De Cancer De La Universidad, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Yamil Castillo BeauchampPRSurgery Physician$29.5K$289.3K
    Luis Borrego CondePRInternal Medicine Physician$35.7K$167.6K
    Rene BaezPRNuclear Imaging & Therapy Physician$86.3K$92.1K
    Gory Ballester OrtizPRDiagnostic Radiology Physician$72.6K$0
    Ricardo Sein-najeraPRNuclear Imaging & Therapy Physician$66.4K$0
    Robert HunterPRHematology & Oncology Physician$19.7K$28.9K
    Edrick Lugo MillanFLDiagnostic Radiology Physician$37.8K$0
    Luis Baez VallecilloPRHematology & Oncology Physician$29K$1.3K
    Alexandra Deya QuinquillaPRHematology & Oncology Physician$29.3K$0
    Francisco Cordova PerezPRCardiovascular Disease Physician$24K$0

    Nearby Providers

    Other providers in the same ZIP code as Centro De Cancer De La Universidad, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Home Care Services LLCPRPediatric Skilled Nursing Facility$0$31.8M
    Eliel Ortho Medical CorpPRProsthetic/Orthotic Supplier$0$10.4M
    Tech Medical Group, Inc.PRProsthetic/Orthotic Supplier$0$7.8M
    Cmt Group, CorpPRHealth Service Clinic/Center$2K$2.3M
    Puerto Rico Medical Transport, Inc.PRNon-emergency Medical Transport (VAN)$0$920.5K
    Eddiemar Ortiz CruzPRHematology & Oncology Physician$0$841.6K
    Sandra CerdaPRPediatric Dentistry$0$656.9K
    Sheilla Ocasio ArcePRAudiologist$11.1K$130.3K
    Harry JimenezPREndocrinology, Diabetes & Metabolism Physician$11.9K$95.2K
    Eric Carro JimenezPRInterventional Cardiology Physician$26.9K$63.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Puerto Rico Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Puerto Rico Distribution
    Centro De Cancer De La Universidad — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico