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.

Rolando Jimenez (NPI 1780691238)

Field	Value
Entity Type	Individual
Organization	Rolando Jimenez
Address	2225 Ponce Byp Ste 706
City	Ponce
State	PR
ZIP	00717
Taxonomy	Hematology & Oncology Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicare	$784K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is concentrated and material: total Medicare revenue is $784K and there is no Medicaid billing on file, so the practice operates effectively as single‑payer (Medicare) in the available dataset. The absence of any Medicaid revenue means payer-mix exposure is heavily weighted to Medicare-derived drug and infusion payments.

Revenue is highly concentrated in three drug administration codes: J0897 accounts for $320.8K (40.6% of total Medicare revenue), J0129 accounts for $255K (32.3% of total Medicare revenue), and J3111 accounts for $149.5K (18.9% of total Medicare revenue); these three codes together represent 91.8% of the provider’s Medicare revenue. This concentration indicates the practice’s Medicare dollars are driven almost entirely by a small set of high-volume injectable biologic therapies rather than a broad mix of services.

The code mix and descriptions indicate a service-line focused on physician-administered biologic injections and infusion services rather than office-based evaluation and management or primary chemotherapy delivery. High-revenue items are J0897 (denosumab), J0129 (abatacept under physician supervision), and J3111 (romosozumab), while explicit chemotherapy CPTs such as 96413 are present but modest ($14K, 1.8% of Medicare revenue), suggesting supportive/biologic injections are the dominant operational activity.

Competitive standing varies by code: the provider is a national high-volume outlier for J0897, ranking #367 of 10057 providers nationally (96th percentile) and described as notably above typical national volume, which signals a leading national position for denosumab administration. By contrast, J0129 ranks #679 of 1221 (44th percentile) and J3111 ranks #369 of 970 (62th percentile), indicating typical to modest national participation on those two codes relative to peers.

Utilization of infusion/administration add-on codes supports a high-throughput infusion model: 96367 (additional IV infusion) produced $17.3K (2.2% of Medicare revenue) and ranks #148 of 4032 (96th percentile), and other infusion-related add-ons such as 96415 and 96366 show elevated national-percentile placements (94th and 90th percentiles respectively). These patterns are consistent with frequent on-site administration of multi-drug infusion sessions and serial injections.

Non-drug professional services are a small portion of billed Medicare activity: 99213 represents 50 claims and $3.4K (0.4% of Medicare revenue) while 99204 shows 16 claims and $2.1K (0.3% of Medicare revenue). This indicates the practice bills relatively little E&M revenue compared with drug/infusion revenue, so clinical presence is primarily centered on procedural drug delivery rather than office visit volume.

Several supportive-care injectable codes appear with substantial claim counts but $0 average paid/claim (for example J1626 with 1K claims, J2405 with 712 claims, and J1100 with 2.2K claims), which reflects reporting patterns in the Medicare dataset that merit review when reconciling billed units versus paid dollars. Payer or adjudication-level explanations for $0 paid averages should be considered by analysts when evaluating overall service utilization and reimbursement flows.

The provider has long-standing enrollment: the NPI was enumerated 2006-08-01 (~20 years ago), consistent with an established practice profile that has generated sustained Medicare billing focused on high-volume injectable biologics. That tenure supports the interpretation that current code patterns reflect an operational choice or service line specialization rather than a short-term or new entrant phenomenon.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	17,820	$20	$320.8K
J0129	Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	7,500	$30	$255K
J3111	Injection, romosozumab-aqqg, 1 mg	18,690	$10	$149.5K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	750	$20	$17.3K
96413	Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…	140	$100	$14K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	210	$50	$10.3K
96415	In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…	280	$20	$6.2K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	320	$20	$5.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	430	$10	$4.3K
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…	50	$70	$3.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Rolando Jimenez — 6 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. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	1	10	17,100	$20	$310.6K
J0129	1	10	5,410	$30	$182.1K
J3111	1	10	18,690	$10	$144.3K
96413	2	10	140	$90	$11.3K
96365	4	10	210	$50	$8.8K
96366	2	10	320	$20	$8.5K
96415	2	10	410	$20	$8K
96367	1	10	170	$20	$6.6K
99213	721	1,530	50	$60	$4.2K
99204	105	200	20	$110	$2.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caribbean Cancer Care Services, LLC	PR	Medical Oncology Physician	$0	$6.5M
Sandra Gracia-lopez	PR	Nuclear Medicine Physician	$26.7K	$4.1M
Hector Velez Cortes	PR	Hematology & Oncology Physician	$4.3K	$4M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Nelson Medina	PR	Gastroenterology Physician	$1.5K	$2.7M
Eduardo Perez Rodriguez	PR	Ophthalmology Physician	$21.7K	$2.3M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Amarilys Santiago Rolon	PR	Gastroenterology Physician	$510	$1.6M
Harry Alverio Rodriguez	PR	Physical Medicine & Rehabilitation Physician	$3.7K	$1.5M
Adalberto Mendoza	PR	Anatomic Pathology & Clinical Pathology Physician	$13.3K	$1.5M

Nearby Providers

Other providers in the same ZIP code as Rolando Jimenez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Caribbean Imaging And Radiation Treatment Center,inc	PR	Multi-Specialty Clinic/Center	$0	$19.3M
Compression Health Care Inc	PR	Oxygen Equipment & Supplies (DME)	$0	$10.6M
Oficina Medica Dr Quintero Psc	PR	Specialist	$0	$4.9M
Pet Diagnostic Imaging Corp	PR	Radiology Clinic/Center	$0	$4.8M
Centro Oncologico De La Mujer De Puerto Rico Csp	PR	Oncology Clinic/Center	$0	$3.8M
Caribbean Wellness Oncology, Psc	PR	Hematology & Oncology Physician	$0	$3.6M
Jose Santiago Alvarado	PR	Anatomic Pathology & Clinical Pathology Physician	$17.2K	$3.2M
Dr German Chaves Radiologo Csp	PR	Diagnostic Radiology Physician	$0	$2.9M
Lydia Irizarry Gonzalez	PR	Pediatric Endocrinology Physician	$0	$2.6M
Carlos Carro Pagan	PR	Cardiovascular Disease Physician	$9.6K	$1.5M

Rolando Jimenez — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References