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.

Alexander Lugo (NPI 1750323895)

Key Findings

Field	Value
Entity Type	Individual
Organization	Alexander Lugo
Address	230 Calle Eleonor Roosevelt
City	San Juan
State	PR
ZIP	00918
Taxonomy	Dermatology Physician
NPI Enumerated	June 12, 2006

Payer Source	Total Paid
Medicare	$234.7K
Medicaid	$0

Practice profile and service mix: Billing is dominated by skin-cancer surgical and procedural dermatology—primary revenue comes from Mohs surgery codes 17311 and 17312 alongside high biopsy volume (11102 and 11103) and lesion-destruction codes (17000, 17282, 17262). The presence of reconstructive codes such as 14060 and full-thickness graft 15260 also indicates the provider routinely performs post-excisional reconstruction and more complex closures in-office or in an ambulatory surgical setting.

Revenue concentration: This provider’s Total Medicare revenue is $234.7K and the top 3 Medicare codes by revenue account for 47.4% of this total. The single largest code is 17311 at $70.6K (30.1% of Medicare revenue), followed by 11102 at $23.4K (10.0%) and 17312 at $17.1K (7.3%), indicating a tight concentration of revenue around Mohs and biopsy procedures.

Payer mix and exposure: Medicare is the only payer on file with $234.7K in lifetime Medicare revenue and there is no Medicaid billing on file. Operationally this means the provider is effectively single-payer from the public-program perspective and any Medicaid-dependent referral streams are not reflected in these claims.

Competitive standing on key procedural codes: For Mohs code 17311 the provider ranks #1862 of 2969 (37th percentile; typical, unremarkable volume), so they are a modest national participant for Mohs by volume. By contrast, biopsy code 11102 ranks #2536 of 18797 (86th percentile; typical, unremarkable volume) and several lesion-destruction codes such as 17282 (88th percentile) and 17262 (87th percentile) are relatively high in national percentile, suggesting above-average throughput for lesion diagnosis and outpatient destruction compared with peers.

Ambulatory visit patterns and workflow signal: The provider reports high counts of low-complexity established-patient visits—99212 appears 289 times and contributes $11.6K (4.9% of Medicare revenue) and ranks #3066 of 99011 (97th percentile; notably above typical national volume). This combination of many low-level E/M visits plus numerous minor-procedure claims (e.g., 11102 with 339 claims, 17000 with 324 claims, 17003 with 310 claims) is consistent with a high-throughput, procedure-oriented outpatient dermatology practice.

Surgical and reconstructive activity: Reconstructive procedure codes generate meaningful revenue—14060 accounts for $14K (6.0% of Medicare revenue) and 15260 contributes $10.2K (4.4%). Although these reconstructive codes tend to rank in the middle to lower national percentiles (for example 15260 at the 14th percentile; typical, unremarkable volume), their presence confirms the practice performs intermediate-to-complex closures and grafting in addition to excisions.

Tenure and likely market footprint: The provider’s NPI was enumerated on 2006-06-12 (~20 years ago), indicating long-standing registration in the Medicare program. Despite long tenure, lifetime Medicare revenue of $234.7K suggests a relatively small Medicare billing footprint overall—consistent with a solo/small-group or part-time procedural dermatology practice rather than a major regional volume center.

Implications of no Medicaid billing: The record shows none below for Medicaid—this provider has no Medicaid billing on file. Analysts should note that absence of Medicaid claims concentrates public-program exposure to Medicare and means Medicaid-driven patient volumes, reimbursement differentials, or state-plan interactions are not visible in the dataset for this NPI.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	160	$450	$70.6K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	340	$70	$23.4K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	50	$330	$17.1K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$610	$14K
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,…	290	$40	$11.6K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	10	$790	$10.2K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	320	$30	$10K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	250	$40	$9.3K
17282	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	60	$150	$9.3K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	70	$130	$8.9K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio De Patologia Dr Noy	PR	Anatomic Pathology Physician	$0	$45.7M
Hato Rey Pathology Associates Inc	PR	Clinical Medical Laboratory	$58.5K	$42M
Home Orthopedics Corp	PR	Prosthetic/Orthotic Supplier	$0	$20.7M
Orthobone, Inc	PR	Customized Equipment (DME)	$0	$15.5M
Smith & Nephew Inc.	PR	Prosthetic/Orthotic Supplier	$0	$12M
Laboratorio Clinico Noy Inc	PR	Clinical Medical Laboratory	$76.1K	$9.9M
Servicios Radiologicos Asociados Jorge Perez Brais	PR	Diagnostic Radiology Physician	$0	$2.9M
Luis Torres Vera	PR	Allergy Physician	$21.5K	$2.7M
Inspira Psychiatric Services Psc	PR	Adult Mental Health Clinic/Center	$0	$2.5M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M

Alexander Lugo — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	40	$450	$27.5K
14060	1	10	20	$610	$14K
17312	1	10	30	$330	$10.6K
15260	1	10	10	$790	$10.2K
17262	1	10	70	$130	$9K
13132	1	10	20	$250	$5.3K
17282	1	10	40	$140	$5.3K
17272	1	10	40	$140	$5K
12032	1	10	20	$210	$4.9K
99213	194	1,530	50	$60	$4.2K