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NPI 1710025762 · Bayamon, PR · Radiation Oncology Physician
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Roberto Santiago Mendez is a radiation oncology physician provider located in Bayamon, Puerto Rico. This profile covers 13 Medicare and 2 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 | Roberto Santiago Mendez |
| Address | Marginal #2, Esquina 3b, Suite G1 |
| City | Bayamon |
| State | PR |
| ZIP | 00960 |
| Taxonomy | Radiation Oncology Physician |
| NPI Enumerated | February 2, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $134.6K |
| Medicaid | $3.8K |
Provider profile and tenure: ROBERTO SANTIAGO MENDEZ is a Radiation Oncology Physician based in BAYAMON, PR with an NPI enumerated on 2007-02-02 (~19 years ago), indicating nearly two decades of billing history in Medicare and Medicaid datasets. The long enumeration suggests an established practice presence in the market rather than a recently registered clinician.
Payer mix and scale: This provider is effectively Medicare-dominant, with Total Medicare revenue of $134.6K versus Total Medicaid revenue of $3.8K. Medicaid represents only a small fraction of billed revenue, so payer-management and revenue trends will be driven primarily by Medicare activity.
Medicare revenue concentration: The top three Medicare codes account for 78.1% of the provider's Medicare revenue, led by G6015 (54.0%), followed by 77301 (12.8%) and G6002 (11.3%). This concentration indicates that a small set of radiation-delivery and guidance services generate the bulk of Medicare income for this clinician.
Service-line implications from Medicare mix: High-volume, per-session treatment codes dominate the Medicare mix — G6015 shows 252 claims, $289 avg paid/claim, $72.8K revenue (54.0% of Medicare revenue) and G6002 shows 253 claims, $60 avg paid/claim, $15.2K revenue (11.3%). Together with planning/physics codes present at lower dollar share (e.g., 77338, 77336), the pattern is consistent with a practice focused on frequent IMRT delivery and on-treatment imaging/verification rather than primarily consultative office care.
Competitive standing on Medicare codes: Peer-rankings show these high-impact codes are not nationally dominant for this provider — G6015 ranks #1009 of 1429 (29th percentile, described as "typical, unremarkable volume for this code"), 77301 ranks #3679 of 3815 (2th percentile, "typical, unremarkable volume for this code"), and G6002 ranks #884 of 2280 (61th percentile, "typical, unremarkable volume for this code"). Overall, these ranks characterize the provider as a modest participant in national IMRT and imaging delivery volumes rather than a top-tier national volume outlier.
Medicaid concentration and in-state standing: The top Medicaid codes account for 100.0% of this provider's Medicaid revenue, split between 77386 (55.0%) and 77387 (45.0%). Both Medicaid codes are labeled in-state as "typical, unremarkable volume for this code" with ranks of #5 of 5 (0th percentile) for 77386 and #9 of 9 (0th percentile) for 77387, indicating a minimal statewide footprint among peers.
Volume vs unit-value dynamics: The Medicare mix shows a high count of per-session claims (G6015: 252 claims; G6002: 253 claims) generating steady per-session revenue, while fewer high-unit-value planning procedures (77301: 12 claims, $1436 avg paid/claim, $17.2K revenue) contribute meaningfully despite low claim counts. This combination implies operations with frequent treatment sessions supplemented by occasional higher-reimbursement planning sessions.
Operational and revenue sensitivity: Given that 78.1% of Medicare revenue and 100.0% of Medicaid revenue are concentrated in a very small set of radiation delivery and guidance codes, the provider's revenue mix is sensitive to reimbursement or utilization changes for IMRT delivery and imaging-guidance codes. For payer or network analysts, monitoring fee-schedule updates and utilization trends for G6015, 77301, G6002, 77386, and 77387 will capture most of the financial exposure for this clinician.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 250 | $290 | $72.8K |
| 77301 | Intensity 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 | $1,440 | $17.2K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 250 | $60 | $15.2K |
| 77427 | Radiation 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… | 40 | $150 | $6.7K |
| 77338 | In this procedure, the provider participates in the design and construction of one or more multi–leaf collimator, MLC, devices for intensity modulated radiation therapy, IMRT. IMRT is a radiotherapy… | 20 | $360 | $6.1K |
| 77280 | The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service. | 20 | $210 | $3.4K |
| 77336 | This 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… | 50 | $70 | $3.3K |
| 77334 | The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues. | 20 | $100 | $2.3K |
| 77300 | Radiation 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… | 40 | $50 | $2.2K |
| 77263 | The 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… | 20 | $130 | $2K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 77386 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex | 20 | $100 | $2.1K |
| 77387 | The 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. | 40 | $50 | $1.7K |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 77386 | Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex | 5 | 10 | 1,430 | $330 | $1.5M |
| 77387 | The 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. | 9 | 10 | 250 | $20 | $47.7K |
Other providers in the same ZIP code as Roberto Santiago Mendez, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Corp Para El Desarrollo De La Salud | PR | Emergency Care Clinic/Center | $0 | $1.3M |
| Jesus Amparo | PR | Internal Medicine Physician | $24.6K | $439.3K |
| Js Ambulance Systems Inc | PR | Land Ambulance | $13.6K | $331.4K |
| Joham Senior Marino | PR | Gastroenterology Physician | $15.1K | $43.7K |
| Jose Irizarry Rodriguez | PR | Rheumatology Physician | $18.7K | $19.1K |
| Roberto Roman Nieves | PR | Anesthesiology Physician | $28.6K | $0 |
| Carlos Chiesa | PR | Hematology & Oncology Physician | $14K | $0 |
| Delfin Bernal | PR | Body Imaging Physician | $12.4K | $0 |
| Victor Aponte | PR | Body Imaging Physician | $11.8K | $0 |
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