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.

Luis Garcia - Lopez (NPI 1780679282)

Field	Value
Entity Type	Individual
Organization	Luis Garcia - Lopez
Address	12 Calle Barbosa N
City	Cayey
State	PR
ZIP	00736
Taxonomy	Physical Medicine & Rehabilitation Physician
NPI Enumerated	September 12, 2005

Payer Source	Total Paid
Medicaid	$1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2,290	$220	$509K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	2,070	$150	$301.9K
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…	2,780	$50	$144.5K
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…	1,240	$40	$53.3K

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

Luis Garcia - Lopez — 3 of 4 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	2	50	80	$140	$44.5K
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…	1,018	3,230	330	$10	$42.4K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	1	30	50	$160	$30K
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…	65	1,400	160	$50	$29.6K

Nearby Providers

Other providers in the same ZIP code as Luis Garcia - Lopez, 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
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
Gonzalez Lopez Inc	PR	Clinical Medical Laboratory	$1.6K	$844.9K

Luis Garcia - Lopez — Billing Profile & Reimbursement Data

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Luis Garcia - Lopez — 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