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 Cardiovascular De San German,csp (NPI 1760446207)

Key Findings

Field	Value
Entity Type	Organization
Organization	Centro Cardiovascular De San German,csp
Address	Edificio Plaza Metropolitana
City	San German
State	PR
ZIP	00683
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicaid	$4.6M
Medicare	$0

This provider is effectively a Medicaid-focused cardiovascular practice: there is no Medicare billing on file and lifetime Medicaid revenue is $4.6M, so all reported program income for this NPI comes from Medicaid rather than Medicare. That single-payer concentration implies the provider’s reimbursement exposure and growth opportunities are tied to state Medicaid policy and managed Medicaid contracts in Puerto Rico.

Revenue is highly concentrated in a small set of procedures: the top three Medicaid codes by revenue together account for 67.7% of the provider’s total Medicaid revenue. This concentration indicates that a majority of the practice’s Medicaid income depends on a narrow mix of diagnostic imaging and interventional cardiology services.

Interventional imaging and cath lab work drive the largest single-code revenue contributions. Code 93458 accounts for $1.3M (28.2% of Medicaid revenue) and 1.1K claims, reflecting substantial revenue from imaging supervision/interpretation associated with coronary angiography and left heart catheterization. Similarly, 92928 (percutaneous coronary intervention with stent) contributes $538.7K (11.8% of revenue) across 731 claims, signaling an active PCI service line. Together with 93452 ($249.9K, 5.5%), these codes underscore a clinical focus on invasive coronary diagnostics and therapies.

High outpatient cardiac imaging volume is evident from echocardiography and ambulatory monitoring metrics. Code 93306 (echocardiography, 2D) generated $1.3M (27.6% of Medicaid revenue) across 6K claims and ranks in the 96th percentile statewide, while 93224 (up to 48-hour ambulatory ECG) and stress testing 93015 are also large contributors and each rank at the 96th percentile. These patterns point to substantial noninvasive cardiac diagnostic throughput alongside interventional services.

On statewide competitive standing for core services, the provider is a major participant for several codes. 93306 ranks #9 of 213 providers in-state (96th percentile) and 93224 and 93015 both sit in the 96th percentile; 92928 ranks #2 of 7 providers (83rd percentile) for PCI volume. Conversely, 93458 is at the 89th percentile (rank #5 of 36), which is described as typical volume. Overall, the provider is notably above typical state volume for multiple diagnostic codes and a leading local performer for PCI-related procedures.

Clinical workload mix includes a high number of evaluation-and-management and monitoring visits that support procedural care. Codes 99213 and 99204 together represent sizeable claim volumes (6.6K and 1.9K claims respectively) and meaningful revenue shares, indicating regular outpatient follow-up and new patient evaluation activity that likely feed into the diagnostic and interventional workstreams. These office-based E/M volumes are in the high percentiles statewide (99213 at the 91st percentile, 99204 at the 98th).

The provider’s NPI has long tenure: the taxonomy was enumerated in 2006-04-13 (~20 years ago). This extended active period suggests established referral relationships and operational continuity in the local cardiac service market.

Several codes appear as statistical outliers or unusually concentrated revenue drivers in the state context. For example, 93306, 93224, and 93015 are all flagged as "notably above typical state volume," indicating persistently elevated utilization compared with peers; 93452 shows no state peer volume comparison available (rank #1 of 1), which may reflect a unique procedural offering or coding pattern that is not widely replicated across other providers in Puerto Rico.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	1,130	$1,140	$1.3M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	5,960	$210	$1.3M
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	730	$740	$538.7K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	2,570	$110	$285K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	2,560	$110	$273.4K
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…	6,600	$40	$264K
93452	This procedure involves catheter placement in a left sided, systemic cardiac chambers left ventricle or left atrium. It also includes left ventricular injection and measuring left ventricular…	290	$880	$249.9K
99204	The provider sees a new 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 provider…	1,880	$80	$140.9K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	5,890	$20	$100.1K
99442	N/A	1,170	$50	$52.8K

Showing 1–10 of 16

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 Cardiovascular De San German,csp — 5 of 14 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93458	In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…	5	40	80	$680	$318.5K
93452	This procedure involves catheter placement in a left sided, systemic cardiac chambers left ventricle or left atrium. It also includes left ventricular injection and measuring left ventricular…	1	10	290	$880	$250K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	9	210	380	$210	$230.1K
92928	The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…	2	10	160	$500	$163.9K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	3	60	200	$110	$65.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	77	460	200	$50	$60.3K
93224	In this procedure, the provider applies an electrocardiographic, or ECG recorder, to a patient for up to 48 hours to detect abnormal heart rates and rhythms. He analyzes, compiles, and interprets the…	4	90	120	$110	$56.3K
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…	288	3,230	330	$10	$42.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	53	320	100	$80	$31.3K
99204	The provider sees a new 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 provider…	13	530	100	$70	$22.9K

Showing 1–10 of 16

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Silva Caraballo	PR	Ophthalmology Physician	$6.8K	$4M
Hospital De La Concepcion Inc	PR	General Acute Care Hospital	$0	$3.8M
Southwest Health Corp.	PR	General Acute Care Hospital	$0	$1.8M
Western Hematology Oncology Group P.s.c	PR	Specialist	$0	$1.8M
Laboratorio Clinico Sangermeno Principal	PR	Clinical Medical Laboratory	$4.8K	$1.3M
San German X Ray & Body Imaging Center, Psc.	PR	Specialist	$0	$1.2M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$800.8K
Axel Baez-torres	PR	Anatomic Pathology & Clinical Pathology Physician	$6.3K	$738.4K
Jorge Ramirez De Arellano	PR	Public Health Dentistry	$0	$626.5K

Centro Cardiovascular De San German,csp — Billing Profile & Reimbursement Data

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Centro Cardiovascular De San German,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

Related Providers

Nearby Providers

Frequently Asked Questions

References