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.

Centro De Hematologia Y Oncologia Del Sur, Csp (NPI 1740557503)

Field	Value
Entity Type	Organization
Organization	Centro De Hematologia Y Oncologia Del Sur, Csp
Address	Carr. 153 Km 7.5, Plaza Santa Isabel, Local 15
City	Santa Isabel
State	PR
ZIP	00757
Taxonomy	Oncology Clinic/Center
NPI Enumerated	November 22, 2011

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

Key Findings

This provider effectively operates on a single-payer footprint: there is no Medicare billing on file while its Medicaid lifetime revenue totals $6.2M, indicating Medicaid is the sole source of reported public-payer revenue in the dataset. Analysts should treat comparisons to Medicare peers as not applicable for this entity and focus competitive analysis on the Medicaid payer and in‑state peers.

Revenue concentration is high: the precomputed top three Medicaid codes account for 66.0% of this provider's total Medicaid revenue, and those three codes are J9263 ($1.7M, 28.0%), Q0084 ($1.2M, 19.2%), and J9035 ($1.2M, 18.9%). This concentration shows a small set of line items—two high-cost pharmaceuticals and the chemotherapy infusion administration code—drive the majority of reported Medicaid dollars.

The code mix and volumes identify the operation as an oncology-focused infusion clinic. High counts for chemotherapy administration and infusion add‑ons—Q0084 with 12.6K claims, 96413 with 7.1K claims, 96415 with 5.1K claims, and multiple other infusion CPTs—signal a throughput model centered on IV chemotherapy delivery and related outpatient E/M activity. Drug codes J9263 (oxaliplatin) and J9035 (bevacizumab) further confirm specialty oncology drug administration as a primary revenue driver.

Competitive standing within Puerto Rico is mixed by service type: the provider ranks very high statewide for chemotherapy administration and infusion throughput (Q0084 ranks #3 of 74, 97th percentile; 96413 ranks #4 of 68, 96th percentile; 96417 ranks #2 of 33, 97th percentile), indicating it is a major infusion site in‑state. By contrast, for certain high-cost drug codes the provider’s position is more modest—J9263 ranks #4 of 7 (50th percentile) and J9035 ranks #12 of 23 (50th percentile)—so the clinic is a regional infusion leader overall but not uniformly dominant across every individual drug product.

Several codes are flagged as statistical outliers or notably above typical state volume, reinforcing the clinic’s operational intensity: 96361 is an extreme outlier (ranks #1 of 29, 100th percentile), Q0084 and 96413 are described as notably above typical state volume, and 96417 is notably above typical state volume (97th percentile). These labels suggest this site provides substantially more infusion/IV-related services than most in‑state peers, and that additional demand for infusion hours and supportive IV treatments is a distinctive operational characteristic.

The provider’s revenue mix shows that expensive oncology drugs account for outsized dollars compared with administration fees: average paid per claim is $3,399 for J9263 and $3,227 for J9035 versus $95 avg paid/claim for Q0084 and $82 avg paid/claim for 96413. Coupled with the fact that the top three codes make up 66.0% of Medicaid revenue, this indicates the clinic’s financial performance depends heavily on reimbursement for high-cost biologic/chemotherapy agents rather than administration fees alone.

This entity has an established billing history: the NPI was enumerated on 2011-11-22 (~15 years ago), indicating a multi-year presence in the market that aligns with the sustained, high-volume infusion activity seen in the Medicaid claims. For payer and network strategy teams, that tenure plus the concentrated oncology footprint supports treating the site as a stable, specialized outpatient oncology infusion provider when considering network relationships or capacity planning.

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J9263	Injection, oxaliplatin, 0.5 mg	510	$3,400	$1.7M
Q0084	Chemotherapy administration by infusion technique only, per visit	12,620	$100	$1.2M
J9035	Injection, bevacizumab, 10 mg	370	$3,230	$1.2M
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	7,080	$80	$580.9K
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…	6,010	$60	$384.6K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	5,130	$50	$261.4K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	6,870	$30	$206.2K
96417	In this add–on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report administration of a different chemotherapy…	3,100	$50	$155.2K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4,230	$20	$80.4K
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.	1,520	$50	$68.4K

Showing 1–10 of 26

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

Centro De Hematologia Y Oncologia Del Sur, Csp — 6 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J9035	Injection, bevacizumab, 10 mg	12	20	370	$2,820	$2.3M
J9263	Injection, oxaliplatin, 0.5 mg	4	10	510	$360	$364.4K
Q0084	Chemotherapy administration by infusion technique only, per visit	3	70	900	$80	$219.9K
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.	13	60	240	$100	$147.6K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	4	70	750	$80	$138K
J0640	Injection, leucovorin calcium, per 50 mg	5	10	830	$70	$98.7K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	5	60	360	$80	$94K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	5	50	520	$50	$82.4K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	7	20	350	$30	$50.5K
J3489	Injection, zoledronic acid, 1 mg	7	10	120	$90	$48.3K

Showing 1–10 of 26

Nearby Providers

Other providers in the same ZIP code as Centro De Hematologia Y Oncologia Del Sur, Csp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Municipio De Santa Isabel	PR	Emergency Care Clinic/Center	$0	$1.9M
San Blas Health Care Inc	PR	Clinical Medical Laboratory	$0	$1.4M
Southern Hospital Services Inc	PR	Emergency Care Clinic/Center	$0	$1.4M
Alba I. Rivera Torres	PR	Clinical Medical Laboratory	$3.8K	$1.1M
Jaime Ongay Rullan	PR	General Practice Physician	$0	$952.9K
Servicios Fisiatricos Raber	PR	Physical Medicine & Rehabilitation Physician	$0	$804K
Celiade Lourdes Feliciano	PR	Optometrist	$0	$634.1K
Cristobal Rivera Ramos	PR	Internal Medicine Physician	$19.1K	$19.7K
Silfredo Silvestrini	PR	Foot & Ankle Surgery Podiatrist	$3.1K	$9.5K
Julio Peguero Rivera	PR	Surgical Critical Care Physician	$1.1K	$0

Centro De Hematologia Y Oncologia Del Sur, Csp — Billing Profile & Reimbursement Data

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Centro De Hematologia Y Oncologia Del Sur, Csp — 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

Nearby Providers

Frequently Asked Questions

References