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.

Jdo Servicios Pediatricos De Sur (NPI 1710109384)

Field	Value
Entity Type	Organization
Organization	Jdo Servicios Pediatricos De Sur
Address	Hosp Episcopal Cristo Redentor
City	Guayama
State	PR
ZIP	00784
Taxonomy	Pediatrics Physician
NPI Enumerated	May 3, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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.	18,550	$40	$760.7K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	1,740	$120	$214.5K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	1,460	$60	$86.3K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	1,460	$50	$77.4K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	1,540	$40	$56.9K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	1,770	$30	$55K
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	70	$470	$33.1K
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	30	$660	$22.6K

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

Jdo Servicios Pediatricos De Sur — 1 of 8 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99469	The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.	5	10	740	$1,410	$2.9M
99468	The provider evaluates and manages the initial care of a newborn or infant less than 28 days of age in a neonatal critical care setting.	4	10	590	$500	$535.1K
99464	The provider is present during the delivery, at the request of the delivering provider, and during the basic stabilization of the newborn immediately after birth, typically when fetal distress or…	4	10	1,460	$70	$144.1K
99462	The provider performs the evaluation and management of a normal newborn on a day subsequent to the initial hospital evaluation.	5	30	250	$40	$108.9K
99460	The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center.	5	20	210	$70	$98.8K
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.	8	500	220	$40	$79.5K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	11	100	180	$30	$18.4K
99242	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…	8	90	170	$30	$18K

Nearby Providers

Other providers in the same ZIP code as Jdo Servicios Pediatricos De Sur, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Apcg Urology C S P	PR	Exclusive Provider Organization	$0	$2M
Alberto Corica Guinle	PR	Urology Physician	$0	$2M
James Ojago	PR	General Practice Physician	$0	$1.6M
Jorge Robles	PR	Anesthesiology Physician	$0	$1.5M
Heriberto Martinez Lebron	PR	Ophthalmology Physician	$2.7K	$1.4M
Gastroenterology Centre C.s.p.	PR	Gastroenterology Physician	$0	$1.4M
Marimar Caban	PR	Speech-Language Pathologist	$0	$1.4M
Hospital Menonita Guayama Inc	PR	Critical Access Hospital	$0	$1.3M
Laboratorio Beiro Inc	PR	Clinical Medical Laboratory	$1.8K	$967.6K
Caribbean Health Alliance Psc	PR	Oncology Clinic/Center	$0	$919.2K

Jdo Servicios Pediatricos De Sur — Billing Profile & Reimbursement Data

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Jdo Servicios Pediatricos De Sur — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References