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.

Adm Servicios Medicos De Puerto Rico (NPI 1760698096)

Field	Value
Entity Type	Organization
Organization	Adm Servicios Medicos De Puerto Rico
Address	Ave Americo Miranda
City	San Juan
State	PR
ZIP	00922
Taxonomy	Emergency Medicine Physician
NPI Enumerated	May 15, 2007

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99245	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a high level of medical decision making or the provider spends…	11,130	$30	$378.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	5,280	$50	$285K
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…	7,830	$30	$250.7K
99203	The provider sees a new 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 provider…	1,550	$50	$76K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	520	$100	$51.4K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	370	$90	$34.1K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	670	$40	$23.5K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	140	$60	$8.4K
D1999	N/A	600	$10	$7.7K
0002A	N/A	260	$30	$7.4K

Showing 1–10 of 42

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

Adm Servicios Medicos De Puerto Rico — 3 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

42 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	30	30	4,250	$80	$1.3M
97602	The provider removes dead tissue from a wound without differentiating between viable and nonviable tissues. This service helps in assessing the depth of the wound, reduces the risk of infection and…	6	10	2,250	$80	$1.2M
88142	The lab analyst performs the technical lab test to analyze a cervical or vaginal cytopathology specimen that a clinician collected in preservative fluid. The test uses automated thin layer…	33	50	370	$20	$247.3K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	67	80	1,150	$50	$125.5K
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	5	30	200	$260	$82.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	107	340	210	$70	$81.7K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	25	500	220	$40	$79.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	21	20	40	$210	$65.6K
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…	402	460	200	$50	$60.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	828	990	1,060	$30	$53.1K

Showing 1–10 of 42

Related Providers

Other providers that share a Tax Identification Number (TIN) with Adm Servicios Medicos De Puerto Rico, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edilberto Martinez	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Lauren Lynch	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Nestor Sanchez Colon	PR	Dermatopathology Physician	$34.6K	$992.5K
Rene Vazquez - Botet	PR	Ophthalmology Physician	$0	$912K
Hector Ramos-fuentes	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$656.4K
Jose Martinez Toro	PR	Specialist	$37.6K	$412.3K
Guillermo Vazquez Andino	PR	Infectious Disease Physician	$34.6K	$285.6K
Eduardo Amy Torres	PR	Orthopaedic Surgery Physician	$1.8K	$193.5K
Giovanni Casillas	PR	Otology & Neurotology Physician	$9.7K	$145K
Edwardo Ramos Cortes	PR	Physical Medicine & Rehabilitation Physician	$19.3K	$134.4K

Nearby Providers

Other providers in the same ZIP code as Adm Servicios Medicos De Puerto Rico, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro Oftalmologico Metropolitano Csp	PR	Ophthalmology Physician	$0	$4.2M
Jose Vega-martinez	PR	Gastroenterology Physician	$0	$1.7M
Ricardo Fontanet	PR	Orthopaedic Surgery Physician	$10.6K	$338.7K
Vital Care Ambulance LLC	PR	Land Ambulance	$46.8K	$204.9K
Julio Rodriguez Quinones	PR	Internal Medicine Physician	$42.6K	$0
Belkiss Murati Amador	PR	Anatomic Pathology & Clinical Pathology Physician	$31.3K	$0
Jose Munoz Acaba	PR	Gastroenterology Physician	$20K	$890
Vanessa Lopez Beauchamp	PR	Ophthalmology Physician	$12.9K	$0

Adm Servicios Medicos De Puerto Rico — Billing Profile & Reimbursement Data

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Adm Servicios Medicos De Puerto Rico — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References