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.

Southern Hospital Services Inc (NPI 1720107956)

Field	Value
Entity Type	Organization
Organization	Southern Hospital Services Inc
Address	Calle La Cruz #6
City	Juana Diaz
State	PR
ZIP	00795
Taxonomy	Emergency Care Clinic/Center
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicaid	$2.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	29,730	$50	$1.4M
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	8,130	$60	$471.3K
S9097	Home visit for wound care	7,010	$60	$448.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	2,370	$40	$90K
T1030	Nursing care, in the home, by registered nurse, per diem	80	$80	$5.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	240	$10	$1.7K
T1002	Rn services, up to 15 minutes	130	$10	$1.5K
90688	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It uses split virus technology and is given as a 0.5 mL dose.	60	$20	$1K
99341	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at least 15…	10	$70	$840
99201	Deleted code, effective Jan. 1, 2021	10	$50	$540

Showing 1–10 of 14

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

Southern Hospital Services Inc — 2 of 10 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

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9097	Home visit for wound care	7	20	4,150	$70	$761.3K
T1030	Nursing care, in the home, by registered nurse, per diem	19	30	1,360	$80	$228.4K
S9083	Global fee urgent care centers	3	50	1,520	$40	$206K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	1	10	2,630	$60	$154.8K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	30	60	240	$100	$147.6K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	626	650	1,260	$40	$93.7K
T1002	Rn services, up to 15 minutes	3	10	470	$30	$21K
87804	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.	305	320	510	$10	$19.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	66	650	120	$1	$4.7K
99201	Deleted code, effective Jan. 1, 2021	144	150	100	$20	$4.6K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southern Hospital Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Hospital Services	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.6M
Southern Hospital Service Inc	PR	Clinical Medical Laboratory	$0	$1M
Southern Hospital Services	PR	Clinical Medical Laboratory	$0	$976.5K
Jose Fumero	PR	Neuroradiology Physician	$3.6K	$0

Nearby Providers

Other providers in the same ZIP code as Southern Hospital Services Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Profesional Emanuel Inc	PR	Clinical Medical Laboratory	$9.8K	$2.4M
Awilda Vazquez Quintana	PR	Physical Therapist	$0	$1.3M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$852.7K
Maria J Lopez Aguado	PR	Clinical Medical Laboratory	$1.9K	$835.2K
Quality Care Hospice LLC	PR	Community Based Hospice Care Agency	$0	$777.9K
Dr Jose E Martinez Campos Csp	PR	Medical Specialty Clinic/Center	$0	$637.1K
Sonia Mercado Cruz	PR	Clinical Medical Laboratory	$140	$612.3K
Glenda Rodriguez	PR	General Practice Physician	$316.2K	$6.1K
Walgreen Co	PR	Pharmacy	$103.1K	$0
Fresenius Vascular Care Del Caribe, Inc	PR	Ambulatory Surgical Clinic/Center	$86.7K	$0

Southern Hospital Services Inc — Billing Profile & Reimbursement Data

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Southern Hospital Services Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References