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.

Jose Serrano Munoz (NPI 1720020886)

Field	Value
Entity Type	Individual
Organization	Jose Serrano Munoz
Address	735 Ponce De Leon Ave.
City	San Juan
State	PR
ZIP	00917
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$92.6K
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is dominated by outpatient cardiology evaluation and diagnostic services, with 99213 ($66.5K, 71.6% of Medicare revenue), 93306 ($12.1K, 13.1%), and 93000 ($6.6K, 7.2%) cited as the top three codes accounting for 91.9% of total Medicare revenue. The mix of codes — established-patient E/M (99213), transthoracic echocardiography (93306), and ECG interpretation (93000) — points to a practice focused on routine follow-up visits supported by in-office cardiac testing rather than a high volume of complex new-patient consults.

Revenue concentration is very high: the precomputed top-3 share is 91.9% of the provider’s Medicare revenue, driven primarily by a single code, 99213, which alone represents $66.5K or 71.6% of Medicare receipts. Such concentration indicates financial reliance on frequent, lower-complexity established-patient office visits for Medicare revenue.

The provider’s payer mix is effectively single-payer Medicare: the lifetime Medicare revenue on file is $92.6K while there is no Medicaid billing on file, so in-state Medicaid does not appear in this profile. For analysts evaluating network exposure or risk, this means Medicaid-driven volume and revenue should not be assumed for this NPI.

Competitive standing varies by service line: for 99213 the provider ranks #5864 of 457151 (99th percentile; extreme outlier), indicating an unusually high national volume of established-patient E/M visits relative to peers. By contrast, 93306 ranks #18611 of 24624 (24th percentile; typical, unremarkable volume) while 93000 ranks #3389 of 71016 (95th percentile; notably above typical national volume), so diagnostic echo activity is modest but ECG interpretation is materially above typical.

Tenure on file is long: the NPI was enumerated 2006-06-12 (~20 years ago), which suggests an established practice footprint and a lengthy billing history for Medicare that could support trend analyses or longitudinal comparisons. This duration, combined with the concentration in recurring E/M visits, is consistent with a stable outpatient cardiology practice.

The presence and scale of ancillary cardiac services are modest but present: pacemaker programming 93288 contributes $2.5K (2.7% of Medicare revenue), and ambulatory monitoring codes 93226 ($696), 93227 ($336), and 93225 ($336) appear at low absolute dollar levels. These line items imply the practice provides device management and ambulatory ECG services in-house, but at a secondary volume relative to office visits.

Lower-volume higher-valued codes for new or more complex evaluations are minimal relative to the dominant 99213: 99214 accounts for $1.9K (2.0%) and 99204 accounts for $1.8K (2.0%) of Medicare revenue. This distribution reinforces that the practice’s episode mix skews toward lower-complexity established visits rather than a caseload weighted toward lengthy or high-complexity new-patient encounters.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,040	$60	$66.5K
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…	80	$150	$12.1K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	660	$10	$6.6K
93288	In this service, the provider performs a face–to–face evaluation and then optimally adjusts the parameters of an already implanted single, dual, multiple lead, or leadless pacemaker system after…	70	$40	$2.5K
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…	20	$80	$1.9K
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…	20	$120	$1.8K
93226	The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports…	20	$30	$700
93225	The physician or other healthcare professional applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to help detect abnormal heart rates and rhythms. This service reports…	20	$10	$340
93227	In this procedure, the provider reviews and interprets the data from an external electrocardiographic, or ECG recorder, worn by a patient for 48 hours to detect abnormal heart rates and rhythms. He…	20	$10	$340

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Jose Serrano Munoz — 2 of 9 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

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	382	470	50	$80	$6.6K
93306	14	160	30	$110	$4.3K
99213	2	1,530	50	$60	$4.2K
99204	117	200	20	$110	$2.7K
93288	3	10	60	$40	$2.2K
93000	1	220	50	$10	$740
93226	1	10	20	$30	$690
93225	1	10	20	$10	$340
93227	3	10	20	$10	$310

Nearby Providers

Other providers in the same ZIP code as Jose Serrano Munoz, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puerto Rico Pathology Associates P	PR	Anatomic Pathology & Clinical Pathology Physician	$0	$6.8M
Metro Pavia At Home LLC	PR	Home Health Agency	$0	$5.6M
Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLC	PR	Physical Medicine & Rehabilitation Physician	$0	$1.8M
Retina Consultants Of P.r.	PR	Ophthalmology Physician	$0	$1.7M
Er Specialized Care LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Aid System LLC	PR	Diagnostic Radiology Physician	$0	$1.3M
Rvp Dental Medical Center, LLC	PR	Dental Clinic/Center	$0	$948.1K
Oncology & Body Imaging Psc	PR	Diagnostic Radiology Physician	$0	$905.6K
Endourological Institute Inc	PR	Ambulatory Surgical Clinic/Center	$16.9K	$609.4K
Mirelis Acosta	PR	Hematology & Oncology Physician	$6.3K	$215.1K

Jose Serrano Munoz — Billing Profile & Reimbursement Data

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Jose Serrano Munoz — 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

Nearby Providers

Frequently Asked Questions

References