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.

Juan Carlos Vazquez (NPI 1699128207)

Field	Value
Entity Type	Individual
Organization	Juan Carlos Vazquez
Address	917 Ave Tito Castro
City	Ponce
State	PR
ZIP	00716
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 19, 2016

Payer Source	Total Paid
Medicare	$85.1K
Medicaid	$0

Key Findings

This provider reports total Medicare revenue of $85.1K and has no Medicaid billing on file, making their current billing footprint effectively single‑payer Medicare. The absence of Medicaid activity on record indicates limited engagement with state Medicaid programs in PR during the measured period.

Revenue is highly concentrated in a small set of inpatient E/M codes: the precomputed top 3 Medicare codes (99223, 99232, 99222) account for 66.9% of this provider's total Medicare revenue. Those three codes alone represent $26.8K for 99223 (31.5%), $18.7K for 99232 (22.0%), and $11.4K for 99222 (13.4%), signaling that a few hospital E/M services drive the bulk of payments.

The specific code mix — dominated by 99223, 99232, 99222, plus meaningful contributions from 99233, 99291, and 99239 — aligns with hospital‑based internal medicine work (initial and subsequent inpatient/observation visits, critical care, and discharge management). The presence of 99291 ($10.2K, 12.0%) and 99239 ($6.8K, 8.0%) further supports an inpatient/ICU and discharge management orientation rather than outpatient clinic‑centric care.

Claim counts and average paid per claim show a mix of higher‑paid, lower‑volume initial visits and higher‑volume, lower‑paid subsequent visits: 99223 had 189 claims at $142 avg paid/claim generating $26.8K, while 99232 had 297 claims at $63 avg paid/claim generating $18.7K. This pattern is consistent with hospitalist workflows where fewer initial admission encounters pay more per claim and routine follow‑up inpatient visits are more frequent.

National competitive standing by code does not indicate dominance: each reported code is described as "typical, unremarkable volume" in its national context (examples include 99223 at #9418 of 139583 (93th percentile) and 99232 at #31003 of 177383 (82th percentile)). In aggregate, these rankings and labels characterize the provider as a modest participant nationally for these inpatient E/M and critical care codes rather than a major national outlier.

No codes in the top list are flagged as statistical outliers or "notably above typical"; each top code carries the plain‑English label "typical, unremarkable volume." That uniform labeling suggests the provider’s billing patterns align with common national practice patterns for hospitalist/internal medicine services rather than reflecting unusually high or anomalous utilization.

Tenure on file shows the NPI was enumerated on 2016-07-19 (~10 years ago), indicating roughly a decade of enrollment in federal payer systems. This length of enrollment supports interpretation of the observed patterns as established billing behavior rather than a very recent practice startup.

Because Medicare represents the entirety of reported public‑payer revenue ($85.1K) and there is no Medicaid billing on file, the provider has limited payer diversification in the public programs captured here; contract negotiations or access to Medicaid networks in PR would not be evidenced by the dataset. Analysts evaluating market access or network coverage should treat this profile as Medicare‑centric and seek supplemental commercial or facility affiliation data for a fuller view.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	190	$140	$26.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	300	$60	$18.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	110	$110	$11.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	120	$90	$11.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	60	$170	$10.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	80	$90	$6.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Juan Carlos Vazquez — 2 of 6 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. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	41	170	70	$90	$9.4K
99291	19	70	40	$170	$9K
99232	21	220	80	$60	$7.9K
99239	13	40	30	$90	$5.3K
99223	5	200	20	$130	$4.9K
99222	2	150	20	$100	$2.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Juan Carlos Vazquez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rolando Dominguez Mustafa	FL	Adult Medicine Physician	$644.3K	$0
John Canterbury	FL	Internal Medicine Physician	$428.8K	$0
Frank Tresgallo	FL	Emergency Medicine Physician	$168.2K	$0
Morvarid Zandiyeh	FL	Internal Medicine Physician	$150.8K	$0
Peter Saikali	NH	Internal Medicine Physician	$150.8K	$0
Sharif Elkabbani	GA	Hospitalist Physician	$148.9K	$0
Jorge Saona Centeno	NH	Internal Medicine Physician	$132.1K	$0
Hanad Omar	NH	Internal Medicine Physician	$123.9K	$0
Rasmi Hajjar	FL	Hospitalist Physician	$122K	$0
Evelyn Rentas	FL	Internal Medicine Physician	$102.7K	$0

Nearby Providers

Other providers in the same ZIP code as Juan Carlos Vazquez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Pathology Services, Inc.	PR	Clinical Medical Laboratory	$6.2K	$5.7M
Tiber Health, Public Benefit Corporation	PR	Multi-Specialty Clinic/Center	$0	$5.1M
Pediatrix Medical Group, S.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$3.8M
Med Centro, Inc.	PR	Clinical Medical Laboratory	$0	$3.6M
Ida Y Vuelta, Inc.	PR	Non-emergency Medical Transport (VAN)	$0	$3.3M
St Lukes Episcopal Church Home Care Program	PR	Community Based Hospice Care Agency	$0	$2.9M
Saint Lukes Memorial Hospital Inc	PR	General Acute Care Hospital	$0	$2.5M
Med Centro, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$2.3M
St Lukes Episcopal Church Home Care Program	PR	Home Health Agency	$0	$2.2M
Medical X Ray Center Ponce	PR	Radiology Clinic/Center	$0	$2.1M

Juan Carlos Vazquez — Billing Profile & Reimbursement Data

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Juan Carlos Vazquez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References