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.

Recinto De Ciencias Medicas (NPI 1720166325)

Key Findings

Field	Value
Entity Type	Organization
Organization	Recinto De Ciencias Medicas
Address	Ave Americo Miranda Centro Medico De Pr Edif. Principal
City	San Juan
State	PR
ZIP	00929
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue is $4.2M, so all documented CMS billing exposure in our dataset is Medicaid‑driven. That payer concentration means Medicaid reimbursement policy and state network contracts will disproportionately affect the provider’s revenue stream.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes account for 60.4% of the provider’s total Medicaid revenue. Those top drivers are 70450 ($1.1M revenue, 26.8%), 74177 ($943K revenue, 23.0%), and 70553 ($432.8K revenue, 10.6%), indicating most dollars come from a narrow mix of high‑value cross‑sectional imaging exams.

The code mix and descriptions point to a high‑throughput cross‑sectional imaging operation: 70450 (CT head without contrast), 74177 (CT abdomen/pelvis with contrast), and 70553 (MRI brain with and without contrast) are the largest revenue contributors. This pattern suggests the organization operates substantial CT and MRI capacity and focuses on advanced diagnostic imaging rather than only plain radiography or procedure‑based services.

For several high‑revenue codes the provider is a statewide leader: 70450 ranks #1 of 80 providers in‑state (100th percentile; extreme outlier), and 70553 ranks #1 of 22 providers in‑state (100th percentile; extreme outlier). Those standings indicate market dominance for head CT and MRI brain workflows compared with in‑state peers.

74177 is also a major volume driver and a top performer: it generated $943K (23.0% of Medicaid revenue), with 8.1K claims and a rank of #3 of 67 providers in‑state (97th percentile; extreme outlier). Together with the #1 ranks on other CT/MRI codes, this profile signals a concentrated competitive advantage in abdominal/pelvic CT and related cross‑sectional services.

Beyond the top three, the provider reports unusually high volumes across other CT, MRI and radiography lines that broaden their service footprint. Examples include 72125 (5.9K claims, $380.2K revenue; ranks #1 of 27 in‑state, 100th percentile), 71045 (40.6K claims, $284K revenue; ranks #2 of 215, 100th percentile), and 71260 (3.5K claims, $273.6K revenue; ranks #1 of 14, 100th percentile), showing both advanced imaging and very large plain radiography throughput relative to peers.

A few codes show no peer comparison in the state dataset (rank #1 of 1 with a 0th percentile note), such as 73700, 75574, and 70490; these entries indicate services reported where state peer volume comparisons are unavailable rather than measurable percentiles. These single‑provider entries may reflect specialized studies or reporting artifacts and should be followed up if peer benchmarking is required.

The provider’s NPI was enumerated on 2006-11-01 (~20 years ago), indicating long tenure in the market. Combined with the concentrated high volumes and multiple #1 statewide ranks, this tenure supports the interpretation of an established radiology operation with sustained Medicaid reliance and potential leverage in local network positioning.

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	19,240	$60	$1.1M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	8,060	$120	$943K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	2,760	$160	$432.8K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	5,940	$60	$380.2K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	40,570	$10	$284K
71260	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.	3,460	$80	$273.6K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	1,050	$180	$189.7K
70486	The provider uses computed tomography, or CT, to examine the maxillofacial area, such as the upper jaw or face structures. The provider does not administer contrast for this exam.	2,330	$60	$135.1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	8,540	$10	$59.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	440	$90	$39.6K

Showing 1–10 of 59

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

Recinto De Ciencias Medicas — 15 of 25 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	51	80	900	$110	$242K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	3	70	730	$110	$178.7K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	1	80	1,150	$50	$125.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	1	20	40	$210	$65.6K
76700	An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…	67	230	510	$60	$61K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	32	40	90	$170	$50.8K
76830	The provider performs a transvaginal ultrasound to assess the reproductive organs, that is, the uterus, fallopian tubes, ovaries, cervix, and vagina in a female patient.	182	220	290	$60	$47.2K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	67	170	310	$60	$46.5K
70551	The provider uses magnetic resonance imaging, or MRI, to examine the brain and brain stem. The provider does not administer contrast for this exam.	1	20	70	$160	$31.7K
72125	In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the cervical spine without contrast material.	1	30	130	$70	$30.2K

Showing 1–10 of 59

Recinto De Ciencias Medicas — Billing Profile & Reimbursement Data

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Recinto De Ciencias Medicas — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recinto De Ciencias Medicas	PR	Emergency Medicine Physician	$0	$6.8M
Recinto De Ciencias Medicas	PR	Neonatal-Perinatal Medicine Physician	$0	$5.4M
Recinto De Ciencias Medicas	PR	Pediatrics Physician	$0	$4M
Recinto De Ciencias Medicas	PR	Obstetrics & Gynecology Physician	$0	$3.8M
Recinto De Ciencias Medicas	PR	Internal Medicine Physician	$0	$3.4M
Recinto De Ciencias Medicas	PR	Pediatric Cardiology Physician	$0	$3.1M
Recinto De Ciencias Medicas	PR	Clinical Medical Laboratory	$0	$3.1M
Recinto De Ciencias Medicas	PR	Orthopaedic Surgery Physician	$0	$3M
Recinto De Ciencias Medicas	PR	Maternal & Fetal Medicine Physician	$0	$2.7M
Recinto De Ciencias Medicas	PR	Ophthalmology Physician	$0	$2.4M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Recinto De Ciencias Medicas	PR	Anesthesiology Physician	$0	$2.1M
Recinto De Ciencias Medicas	PR	Internal Medicine Physician	$0	$1.2M
Recinto De Ciencias Medicas	PR	Pediatric Hematology & Oncology Physician	$0	$879.8K
Jose Carlo-izquierdo	PR	Pain Medicine (Psychiatry & Neurology) Physician	$16.1K	$0