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.

San Jorge Associates (NPI 1790793552)

San Jorge Associates is a anesthesiology physician provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	San Jorge Associates
Address	258 Calle San Jorge
City	San Juan
State	PR
ZIP	00912
Taxonomy	Anesthesiology Physician
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicaid	$656.6K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	13,490	$20	$323.9K
93040	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…	5,790	$20	$133.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	6,220	$20	$124.5K
99201	Deleted code, effective Jan. 1, 2021	2,630	$20	$50K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	70	$170	$11.6K
43239	The 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.	80	$100	$7.5K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	80	$30	$2.1K
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…	70	$30	$2.1K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	10	$110	$1.4K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10	$40	$420

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

San Jorge Associates — 4 of 10 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
43239	The 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.	82	110	270	$280	$148.1K
93040	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…	3	10	4,830	$20	$125.8K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	5	230	410	$40	$51.9K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	110	170	140	$40	$34.3K
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…	59	90	190	$30	$32.6K
54161	The provider excises the foreskin of a patient older than 28 days; the provider uses a technique other than a clamp, other devices, or dorsal slit.	5	10	70	$230	$27.4K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	397	410	390	$20	$21.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	3	320	130	$20	$12.7K
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	1	10	60	$140	$6.4K
99201	Deleted code, effective Jan. 1, 2021	2	150	100	$20	$4.6K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grupo Intensivo Pediatrico De San Juan	PR	Pediatric Critical Care Medicine Physician	$0	$5.5M
Ghp C.s.p.	PR	Pediatrics Physician	$0	$3.6M
Villegas LLC	PR	Ophthalmology Physician	$0	$1.3M
Felix J Seda Ent Psc	PR	Pediatric Otolaryngology Physician	$0	$1.3M
San Jorge Children's Medical Specialties,psc	PR	Oncology Clinic/Center	$0	$1.2M
Luis Font	PR	Pediatric Endocrinology Physician	$0	$836.4K
Rafael Trinidad Hernandez	PR	Endocrinology, Diabetes & Metabolism Physician	$14.1K	$173.5K
Edwardo Ramos Cortes	PR	Physical Medicine & Rehabilitation Physician	$19.3K	$134.4K
Jorge Rivera-herrera	PR	Urology Physician	$62.6K	$0
Jaime Pinero-pares	PR	General Practice Physician	$41K	$0

San Jorge Associates — Billing Profile & Reimbursement Data

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San Jorge Associates — 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