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.

Pepino Health Group Inc (NPI 1699763102)

Field	Value
Entity Type	Organization
Organization	Pepino Health Group Inc
Address	126 Calle Pavia Fernandez
City	San Sebastian
State	PR
ZIP	00685
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	October 10, 2005

Payer Source	Total Paid
Medicaid	$726.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	2,370	$40	$102K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	7,970	$10	$63.7K
0002A	N/A	1,720	$40	$61.7K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,340	$10	$56.4K
0001A	N/A	1,980	$30	$55.5K
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…	770	$60	$49.5K
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.	700	$60	$43.5K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	1,960	$20	$37.2K
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	1,580	$20	$34.8K
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…	570	$60	$32.9K

Showing 1–10 of 57

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

Pepino Health Group Inc — 0 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

57 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	31	80	1,370	$40	$272.9K
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…	88	150	1,180	$70	$170.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	48	60	240	$100	$147.6K
76641	In this procedure, the provider performs a complete ultrasound of one breast. The procedure includes documentation of the images.	132	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…	94	130	480	$90	$109.4K
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.	298	500	220	$40	$79.5K
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…	108	230	510	$60	$61K
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.	73	220	290	$60	$47.2K
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.	110	170	310	$60	$46.5K
99214	The 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…	751	900	360	$30	$42.5K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pepino Health Group Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Armando Bonnet-mercier	PR	Diagnostic Radiology Physician	$62.5K	$0
Pedro Gonzalez Torres	PR	Diagnostic Radiology Physician	$38.1K	$0

Nearby Providers

Other providers in the same ZIP code as Pepino Health Group Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mpl Maxillofacial Surgery, Psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$3.8M
Jose Rabell	PR	General Practice Dentistry	$0	$3.1M
Laboratorio Clinico Lebron, Inc.	PR	Clinical Medical Laboratory	$600	$1.9M
Centro De Diagnostico Y Tratamiento De San Sebastian Inc	PR	Diagnostic Radiology Physician	$0	$1.9M
Lexmayris Ambulance, Inc.	PR	Land Ambulance	$30.4K	$1.5M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1.5M
Centro Familiar De Servicios Dentales, Csp	PR	Dentist	$0	$1.3M
Centro De Diagnostico Y Tratamiento De San Sebastian Inc	PR	Health Service Clinic/Center	$0	$1.2M
Stepbysteptherapygroup	PR	Hearing and Speech Clinic/Center	$0	$922.6K
Nicole Quintana	PR	General Practice Dentistry	$0	$886.6K

Pepino Health Group Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References