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.

Gumet, Inc. (NPI 1780798066)

Field	Value
Entity Type	Organization
Organization	Gumet, Inc.
Address	55 Esq. Ulises Martinez
City	Humacao
State	PR
ZIP	00791
Taxonomy	Exclusive Provider Organization
NPI Enumerated	August 17, 2006

Payer Source	Total Paid
Medicaid	$731.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	134,910	$1	$134.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9,960	$10	$79.7K
96160	The provider administers a questionnaire aimed at helping to identify a specific health risk to a patient, analyzes the results, assigns a score, and documents the findings. Use this code for each…	2,690	$30	$69.8K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	5,960	$10	$53.7K
90461	In this procedure, the provider administers an additional live attenuated vaccine either via a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age after the…	8,920	$10	$53.5K
0002A	N/A	1,310	$40	$47.2K
0001A	N/A	1,140	$40	$40.9K
90460	In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age.	6,700	$10	$40.2K
99214	The 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…	15,310	$1	$30.6K
0004A	N/A	820	$40	$30.2K

Showing 1–10 of 157

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

Gumet, Inc. — 6 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

157 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	152	210	380	$210	$230.1K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	186	350	540	$50	$96.4K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	123	130	3,370	$10	$64.5K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	25	90	1,090	$10	$47K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	58	280	210	$30	$43.8K
99214	The 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…	7	900	360	$30	$42.5K
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…	19	3,230	330	$10	$42.4K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	428	440	370	$40	$38.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	118	200	120	$80	$30.5K
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…	76	1,400	160	$50	$29.6K

Showing 1–10 of 157

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr Jose A Nassar & Asociados	PR	Radiology Clinic/Center	$0	$6.3M
Laboratorio Clinico Roxell Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Redes De Salud Inc.	PR	Specialist	$0	$1.7M
Jimergency Medical Transport Inc.	PR	Ambulance	$46.2K	$1.5M
Yamilka Abreu Delgado	PR	Gastroenterology Physician	$0	$1.2M
Eastern Retina Consultants Of Puerto Rico, Psc	PR	Ophthalmology Physician	$0	$1.2M
Instituto De Radioterapia Avanzada Del Este, Psc	PR	Radiation Oncology Clinic/Center	$0	$1.1M
Servicios Anatomico Patologicos Oriental, Inc.	PR	Clinical Medical Laboratory	$2.6K	$1.1M
Vc Partners LLC	PR	Diagnostic Radiology Physician	$0	$1M
Ivette Rodriguez	PR	Pediatric Dentistry	$0	$936.9K

Gumet, Inc. — Billing Profile & Reimbursement Data

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Gumet, Inc. — 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