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.

Carlos Maldonado (NPI 1750498390)

Field	Value
Entity Type	Individual
Organization	Carlos Maldonado
Address	390 Calle San Claudio
City	San Juan
State	PR
ZIP	00926
Taxonomy	General Practice Dentistry
NPI Enumerated	August 23, 2006

Payer Source	Total Paid
Medicaid	$859K
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	8,440	$30	$244.7K
D1999	N/A	8,410	$20	$126.1K
D0330	N/A	3,900	$30	$117.1K
D0150	Comprehensive oral evaluation – new or established patient	4,350	$20	$95.8K
D0272	N/A	6,290	$20	$94.4K
D0120	Periodic oral evaluation - established patient	5,990	$10	$83.8K
D1208	Topical application of fluoride - excluding varnish	3,640	$10	$50.9K
D1120	Prophylaxis–child	1,540	$20	$29.2K
D0210	Intraoral - complete series of radiographic images	160	$30	$5.1K
D1351	Sealant - per tooth	310	$20	$4.6K

Showing 1–10 of 15

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

Carlos Maldonado — 5 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	26	990	1,060	$30	$53.1K
D1999	N/A	48	950	1,350	$10	$35.1K
D0330	N/A	19	540	370	$30	$25.3K
D0120	Periodic oral evaluation - established patient	58	940	880	$10	$24.2K
D0272	N/A	27	880	710	$10	$20.7K
D2150	Amalgam - two surfaces, primary or permanent	438	550	210	$40	$20.7K
D1351	Sealant - per tooth	91	160	440	$10	$19K
D0150	Comprehensive oral evaluation – new or established patient	14	910	540	$20	$18.1K
D1208	Topical application of fluoride - excluding varnish	48	810	500	$10	$16K
D0210	Intraoral - complete series of radiographic images	50	100	160	$40	$14.9K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Carlos Maldonado, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Farmacia Doral, Inc.	PR	Specialty Pharmacy	$0	$115.6M
Grupo Neonatal C.s.p.	PR	Neonatal-Perinatal Medicine Physician	$0	$6M
Aps Clinics Of Puerto Rico, Inc.	PR	Adult Mental Health Clinic/Center	$0	$5.7M
Alejandro Marmolejo	PR	General Practice Physician	$2.5K	$2.1M
Bvr Ambulance Best Care Inc	PR	Land Ambulance	$10.2K	$1.6M
Jan Rodriguez Ferrer	PR	Internal Medicine Physician	$60.6K	$1.4M
Nuvasive Pr, Inc.	PR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Rebeca Cuebas	PR	Pediatrics Physician	$0	$1M
Cck Medical Csp	PR	Cardiovascular Disease Physician	$0	$983K
Renato Rivera	PR	Family Medicine Physician	$0	$886.7K

Carlos Maldonado — Billing Profile & Reimbursement Data

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Carlos Maldonado — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References