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.

Efrain Montanez Morales (NPI 1750707832)

Field	Value
Entity Type	Individual
Organization	Efrain Montanez Morales
Address	20 Ave Antonio R Barcelo
City	Cayey
State	PR
ZIP	00736
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	March 12, 2014

Payer Source	Total Paid
Medicaid	$670.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	2,680	$90	$233.2K
D7240	N/A	630	$160	$100K
D9223	N/A	930	$100	$94.9K
D9222	N/A	890	$90	$76.5K
D0160	N/A	1,930	$40	$69.6K
D7230	N/A	260	$140	$36.2K
D1999	N/A	1,970	$10	$27.5K
D9219	N/A	370	$40	$13.4K
D7250	N/A	170	$70	$11K
D0330	N/A	180	$30	$5.8K

Showing 1–10 of 13

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

Efrain Montanez Morales — 0 of 13 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	15	30	980	$170	$378.3K
D7230	N/A	9	20	270	$150	$117.6K
D9223	N/A	9	40	120	$110	$98.2K
D9222	N/A	8	30	300	$110	$97.4K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	10	100	150	$80	$83K
D0160	N/A	17	60	330	$40	$60.4K
D7220	N/A	13	10	180	$120	$56.8K
D1999	N/A	390	950	1,350	$10	$35.1K
D0330	N/A	355	540	370	$30	$25.3K
D1208	Topical application of fluoride - excluding varnish	793	810	500	$10	$16K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Efrain Montanez Morales, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Four Molar Psc	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$3M

Nearby Providers

Other providers in the same ZIP code as Efrain Montanez Morales, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Agosto Allergy And Immunology Csp	PR	Allergy & Immunology Physician	$0	$2.4M
Advanced Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$2M
Laboratorio Clinico Montellano Inc	PR	Clinical Medical Laboratory	$16.3K	$1.8M
Juan Benitez Santana	PR	General Practice Physician	$3.6K	$1.3M
Anestesia Del Caribe,csp	PR	Anesthesiology Physician	$0	$1.2M
Luis Suarez Almedina	PR	Pediatrics Physician	$0	$1.1M
Luis Garcia - Lopez	PR	Physical Medicine & Rehabilitation Physician	$0	$1M
Gobierno Municipal De Cayey	PR	Clinic/Center	$0	$1M
Centro Fisiatrico Del Plata Psc	PR	Physical Medicine & Rehabilitation Physician	$0	$994.3K
Jam Ambulance Service Inc	PR	Land Ambulance	$17.6K	$962.3K

Efrain Montanez Morales — Billing Profile & Reimbursement Data

Sign up for Efrain Montanez Morales — Billing Profile & Reimbursement Data policy alerts

Efrain Montanez Morales — Billing Profile & Reimbursement Data

Sign up for Efrain Montanez Morales — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References