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.

Carlos Henriquez Felipe (NPI 1710385414)

Field	Value
Entity Type	Individual
Organization	Carlos Henriquez Felipe
Address	1940 Diego Penaloza St.
City	San Juan
State	PR
ZIP	00926
Taxonomy	General Practice Physician
NPI Enumerated	December 11, 2014

Payer Source	Total Paid
Medicare	$161.2K
Medicaid	$0

Key Findings

This provider's commercial billing footprint is effectively single-payer Medicare: total Medicare revenue is $161.2K and there is no Medicaid billing on file, indicating the practice's public-payer exposure is concentrated in the Medicare population rather than a mixed Medicare/Medicaid panel. This payer concentration implies revenue is sensitive to Medicare utilization and coverage policies.

Revenue is highly concentrated in a very small set of services: the top three Medicare codes 99233 ($58.5K, 36.2% of Medicare revenue), 93306 ($35.2K, 21.8%), and 99223 ($25.4K, 15.7%) together account for 73.8% of the provider's total Medicare revenue. Such a concentration means the business depends heavily on inpatient E/M and echocardiography-related services for the bulk of its Medicare income.

The procedure mix shows a dual focus on hospital inpatient evaluation-and-management and cardiac imaging. High-volume inpatient E/M codes 99233 (622 claims, $94 avg paid/claim) and 99223 (188 claims, $135 avg paid/claim) sit alongside substantial echocardiography use via 93306 (332 claims, $106 avg paid/claim), signaling a practice that spends significant time on acute inpatient care while also delivering professional echo services. This pattern is consistent with a clinician who manages hospitalized patients and performs or bills for cardiac imaging.

Competitive standing varies by code: 99233 ranks #5456 of 128818 providers nationally (96th percentile) and is described as notably above typical national volume, indicating a strong national-level presence for this inpatient subsequent E/M service. By contrast, 93306 ranks #7705 of 24624 (69th percentile) and 99223 ranks #9523 of 139583 (93th percentile) with both labeled as typical or unremarkable volumes, so the provider is a high outlier for 99233 but more of a modest-to-typical participant for the other top codes.

The echocardiography portfolio includes both transthoracic and transesophageal studies: 93306 is a major revenue source, and additional echo codes such as 93312 ($5.1K, 3.2% of Medicare revenue; ranks in the 91th percentile) and 93308 ($4.6K, 2.8%; ranks in the 92th percentile) show above-typical national rankings for several echo subcodes. This suggests sustained use of both routine and advanced echo testing (including TEE) rather than isolated or incidental imaging activity.

Advanced or interventional cardiac procedures are present but low-volume relative to national peers: 93355 ($2.6K, 1.6% of Medicare revenue) ranks #582 of 779 providers (21th percentile) and 92960 ($1.2K, 0.7%) ranks #4209 of 5565 (18th percentile), indicating occasional performance or billing of procedure-level interventions but not at a scale that distinguishes the provider nationally. These codes represent adjunctive, lower-revenue services within an echo/inpatient E/M-dominant book of business.

The provider has an established billing history, with an NPI enumerated on 2014-12-11 (~12 years ago), which supports that the observed patterns are from several years of participation in Medicare rather than a very recent entrant or a transient filer. That tenure adds weight to interpreting the high 99233 volume as a stable part of the practice rather than a short-term anomaly.

From an operational and payer-risk perspective, dependence on a narrow set of high-revenue inpatient E/M and echo codes creates concentration risk: shifts in inpatient utilization, echo reimbursement, or Medicare documentation/payment policy affecting 99233, 93306, or 99223 could materially affect revenue. The absence of Medicaid activity (no Medicaid billing on file) further concentrates revenue exposure to Medicare-specific demand and rate changes.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	620	$90	$58.5K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	330	$110	$35.2K
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	$25.4K
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…	140	$100	$13.1K
99204	The provider sees a new 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 provider…	70	$120	$8.6K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	60	$80	$5.1K
93308	The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…	90	$50	$4.6K
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…	60	$60	$3.8K
93355	The provider uses an ultrasound transducer inserted through an endoscope into the esophagus to examine the heart’s valves and chambers and guide transcatheter procedures on the heart and great…	20	$180	$2.6K
92960	In this procedure, the provider restores the normal heart rate and rhythm of a patient with arrhythmia by applying electric shock using an external defibrillator.	10	$90	$1.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Carlos Henriquez Felipe — 4 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	3	170	70	$90	$9.4K
99232	131	220	80	$60	$7.9K
99214	65	470	50	$80	$6.6K
93312	1	10	60	$80	$5.1K
99223	6	200	20	$130	$4.9K
93308	1	10	90	$50	$4.5K
93306	1	160	30	$110	$4.3K
99204	4	200	20	$110	$2.7K
93355	1	10	20	$180	$2.6K
92960	1	10	10	$90	$1.2K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Florida Clinical Practice Association Inc	FL	Surgery Physician	$0	$79.3M
Centra Medical Group, LLC	VA	Family Medicine Physician	$0	$60.1M
Florida Clinical Practice Association Inc	FL	Clinical Medical Laboratory	$2.7M	$3.1M
Veronica Papavero	FL	Anatomic Pathology Physician	$3.7M	$0
Jacqueline Russo	FL	Anatomic Pathology & Clinical Pathology Physician	$2.7M	$0
Adrian Vazquez	NC	Rheumatology Physician	$1.7M	$0
Raam Sambandam	FL	Clinical Neurophysiology Physician	$1.3M	$0
Siva Iyer	FL	Ophthalmology Physician	$1.3M	$0
Long Dang	FL	Medical Oncology Physician	$1.3M	$0
Jason Rosen	FL	Dermatopathology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farmacia Doral, Inc.	PR	Specialty Pharmacy	$0	$115.6M
Grupo Neonatal C.s.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$6M
Aps Clinics Of Puerto Rico, Inc.	PR	Adult Mental Health Clinic/Center	$0	$5.7M
Alejandro Marmolejo	PR	General Practice Physician	$2.5K	$2.1M
Bvr Ambulance Best Care Inc	PR	Land Ambulance	$10.2K	$1.6M
Jan Rodriguez Ferrer	PR	Internal Medicine Physician	$60.6K	$1.4M
Nuvasive Pr, Inc.	PR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Rebeca Cuebas	PR	Pediatrics Physician	$0	$1M
Cck Medical Csp	PR	Cardiovascular Disease Physician	$0	$983K
Renato Rivera	PR	Family Medicine Physician	$0	$886.7K

Carlos Henriquez Felipe — 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