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.

Orthohand Surgery,psc (NPI 1710261003)

Orthohand Surgery,psc is a orthopaedic hand surgery physician provider located in Aguada, Puerto Rico. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Orthohand Surgery,psc
Address	9 Riomar
City	Aguada
State	PR
ZIP	00602
Taxonomy	Orthopaedic Hand Surgery Physician
NPI Enumerated	October 5, 2011

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
26442	In this procedure, the provider performs tenolysis, which releases the flexor tendon of the palm and finger from adhesions. This surgical procedure extends from finger to palm.	610	$540	$330.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	2,910	$60	$186.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	3,350	$50	$153.9K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	2,840	$40	$99.4K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	1,430	$50	$77K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	150	$210	$32.3K
20902	A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…	110	$270	$30.2K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	980	$30	$28.3K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	880	$30	$28.3K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	880	$30	$26.3K

Showing 1–10 of 18

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

Orthohand Surgery,psc — 7 of 17 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
26442	In this procedure, the provider performs tenolysis, which releases the flexor tendon of the palm and finger from adhesions. This surgical procedure extends from finger to palm.	1	10	530	$390	$208.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	519	3,230	330	$10	$42.4K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	61	1,400	160	$50	$29.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	2	50	90	$40	$14.2K
20902	A bone graft restores structural integrity and natural osseous, or bony, tissue to the site of a bony defect, which increases its strength so it will last over a period of time. The provider…	1	10	40	$220	$12K
64721	Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…	1	10	30	$190	$11.4K
73560	In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.	40	170	240	$10	$9.9K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	1	10	70	$30	$8.1K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	1	20	90	$20	$5.9K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	15	130	120	$10	$5.7K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Cirugia Plastica	PR	Ophthalmology Physician	$0	$1.1M
Ivette Lopez	PR	Speech-Language Pathologist	$0	$1M
Centro Gineco-obstetrico Del Oeste Inc.	PR	Multi-Specialty Clinic/Center	$0	$1M
Aguada Medical Center Inc.	PR	Diagnostic Radiology Physician	$0	$989.8K
Carlos Muniz Molinero	PR	Internal Medicine Physician	$4.6K	$19.7K
Carlos Gonzalez Acevedo	PR	Certified Registered Nurse Anesthetist	$8K	$0
Rafael Machin	PR	General Practice Physician	$3.3K	$3.8K
Luis Rivera Rodriguez	PR	Ophthalmology Physician	$5.8K	$0
Adriana Aguilar	PR	General Practice Physician	$5.1K	$180
Gabriel Cruz Martinez	PR	Chiropractor	$4.9K	$0

Orthohand Surgery,psc — Billing Profile & Reimbursement Data

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Orthohand Surgery,psc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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