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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJorge Cortes-ruiz
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    Jorge Cortes-ruiz — Billing Profile & Reimbursement Data

    NPI 1770586273 · Bayamon, PR · Gastroenterology Physician

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    Jorge Cortes-ruiz is a gastroenterology physician provider located in Bayamon, Puerto Rico. This profile covers 7 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJorge Cortes-ruiz
    AddressInstituto San Pablo
    CityBayamon
    StatePR
    ZIP00961
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 27, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$39.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.40$280$10.5K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…30$330$10.2K
    99213The 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…100$70$6.2K
    99214The provider sees an established 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…60$90$5K
    G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence…70$40$3K
    99204The 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…30$110$2.8K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…20$120$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921419947050$80$6.6K
    9922312820020$130$4.9K
    4323954020$220$4.6K
    4538022020$250$4.6K
    992133071,53050$60$4.2K
    992045720020$110$2.7K
    G050037020$40$1.2K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Jorge Cortes-ruiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Municipality Of San JuanPRMulti-Specialty Clinic/Center$0$4.5M
    Omayra GonzalezPRHematology & Oncology Physician$2.9K$1.6M
    Laboratorio Clinico Dr. Gualberto RabellPRClinical Medical Laboratory$0$1.5M
    Edilberto MartinezPRMaternal & Fetal Medicine Physician$0$1.4M
    Lauren LynchPRMaternal & Fetal Medicine Physician$0$1.4M
    Luis FontPRPediatric Endocrinology Physician$0$836.4K
    Soobin MaengPRGeneral Practice Physician$0$738.9K
    Centro Gastroenterologia Avanzada Del Norte CspPRGastroenterology Physician$0$616.3K
    Laboratorio Clinico Cdt Dr. Jose Lopez AntongiorgiPRClinical Medical Laboratory$0$607.1K
    Ricardo Hernandez-castilloPRPulmonary Disease Physician$28.6K$211.9K

    Nearby Providers

    Other providers in the same ZIP code as Jorge Cortes-ruiz, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nazareno Enterprises And Services LLCPRProsthetic/Orthotic Supplier$0$23.8M
    Cdt Gmsp, IncPRFederally Qualified Health Center (FQHC)$0$4.6M
    Centro Medico Del Turabo, Inc.PRHome Infusion Therapy Pharmacy$0$3.9M
    Djm Imaging Center LLCPRRadiology Clinic/Center$0$3.6M
    Cdt Centro De Servicios Medicos Integrados Inc.PRClinical Medical Laboratory$0$2.3M
    Cdt G.m,s.p., Inc RadiologiaPRFederally Qualified Health Center (FQHC)$0$1.7M
    Pro-health Clinical Services LLCPREndocrinology, Diabetes & Metabolism Physician$0$1.6M
    Laboratorio TeresitaPRClinical Medical Laboratory$4.8K$1.3M
    Dr Joaquin Balaguer Group PscPRPodiatrist$0$1.2M
    San Pablo Pathology Group Inc.PRAnatomic Pathology Physician$0$1.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Puerto Rico Distribution
    Jorge Cortes-ruiz — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Puerto Rico