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.

Wilfredo De Jesus Rojas (NPI 1740555754)

Wilfredo De Jesus Rojas is a pediatric pulmonology physician provider located in Cayey, Puerto Rico. This profile covers 0 Medicare and 25 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	Individual
Organization	Wilfredo De Jesus Rojas
Address	Centro Medico Menonita Cayey
City	Cayey
State	PR
ZIP	00737
Taxonomy	Pediatric Pulmonology Physician
NPI Enumerated	March 9, 2012

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

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

25 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…	5,990	$60	$347.7K
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	5,500	$50	$274.8K
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…	1,680	$80	$133K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	8,550	$10	$94.1K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	4,230	$20	$67.7K
99442	N/A	1,140	$50	$53.7K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	710	$60	$43.5K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	630	$50	$29.8K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	630	$40	$27.5K
94760	The provider takes a single measurement of the patient’s oxygen saturation using a sensor on the ear or finger.	7,840	$1	$15.7K

Showing 1–10 of 25

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

Wilfredo De Jesus Rojas — 7 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

25 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
94375	The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to…	3	30	350	$50	$75.1K
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…	306	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…	119	1,400	160	$50	$29.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	59	150	110	$30	$24.3K
95012	The provider performs a test involving nitric oxide exhaled by a patient into a nitric oxide monitoring system. The test helps with checking the level of inflammation in the airways of a patient who…	1	10	380	$60	$23.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	750	840	340	$1	$16.7K
94200	The provider measures the largest volume of air that a patient can voluntarily breathe while the patient breathes as deeply and quickly as possible for a specified period of time. This test helps…	2	20	140	$20	$16.7K
94726	The provider performs a pulmonary function test, or PFT, to determine the patient’s lung volumes, such as total lung capacity, residual volume, and functional residual capacity. The testing also may…	5	30	120	$40	$13.8K
94729	In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.	10	50	190	$40	$13.1K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	41	50	140	$40	$12.3K

Showing 1–10 of 25

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mennonite General Hospital Inc	PR	Specialist	$0	$8.3M
Mennonite General Hospital Inc	PR	General Acute Care Hospital	$0	$2.8M
Carlene Cadiz Fuentes	PR	Obstetrics & Gynecology Physician	$0	$1.2M
Jorge Colon Martinez	PR	General Practice Physician	$0	$729.7K
Pedro Perez	PR	General Practice Physician	$0	$668K
Fabio Ricci Gorbea	PR	Internal Medicine Physician	$2.1K	$630.9K
Walisbeth Class-vazquez	PR	Gastroenterology Physician	$7.7K	$492.6K
Jesus Rodriguez Rodriguez	PR	General Practice Physician	$6.6K	$224.2K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K
Jeffrey Zuckerman	PR	Diagnostic Radiology Physician	$131.1K	$2.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospital Menonita De Cayey	PR	Specialist	$0	$2.4M
Laboratorio Clinico Lopez Rivera Csp	PR	Clinical Medical Laboratory	$21.4K	$2.4M
Hospital Menonita De Cayey	PR	General Acute Care Hospital	$0	$1.8M
Jose Rivera Velazquez	PR	Pediatrics Physician	$0	$818.4K
Puerto Rico Cardiac Arrhythmia Management LLC	PR	Clinical Cardiac Electrophysiology Physician	$0	$639.9K
Jose Marcial Suarez	PR	Clinical Cardiac Electrophysiology Physician	$3.9K	$250.6K
Frank Acevedo	PR	Specialist	$7.9K	$89.7K
Francisco Vazquez Reillo	PR	Neurology Physician	$12.4K	$0

Wilfredo De Jesus Rojas — Billing Profile & Reimbursement Data

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Wilfredo De Jesus Rojas — 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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