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 Rivera Rodriguez (NPI 1801885249)

Field	Value
Entity Type	Individual
Organization	Luis Rivera Rodriguez
Address	Calle Colon
City	Aguada
State	PR
ZIP	00602
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 18, 2005

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	60	$60	$3.4K
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…	10	$70	$1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	40	$20	$860
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	30	$20	$390
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	10	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Luis Rivera Rodriguez — 0 of 5 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

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	602	1,530	50	$60	$4.2K
99203	339	480	20	$70	$1.8K
92250	35	70	40	$20	$1.3K
92202	55	60	30	$10	$640
92285	7	20	30	$20	$570

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Cirugia Plastica	PR	Ophthalmology Physician	$0	$1.1M

Nearby Providers

Other providers in the same ZIP code as Luis Rivera Rodriguez, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivette Lopez	PR	Speech-Language Pathologist	$0	$1M
Orthohand Surgery,psc	PR	Orthopaedic Hand Surgery Physician	$0	$1M
Centro Gineco-obstetrico Del Oeste Inc.	PR	Multi-Specialty Clinic/Center	$0	$1M
Aguada Medical Center Inc.	PR	Diagnostic Radiology Physician	$0	$989.8K
Carlos Muniz Molinero	PR	Internal Medicine Physician	$4.6K	$19.7K
Carlos Gonzalez Acevedo	PR	Certified Registered Nurse Anesthetist	$8K	$0
Rafael Machin	PR	General Practice Physician	$3.3K	$3.8K
Adriana Aguilar	PR	General Practice Physician	$5.1K	$180
Gabriel Cruz Martinez	PR	Chiropractor	$4.9K	$0
Hiram Ortega	PR	Family Medicine Physician	$3.5K	$100

Luis Rivera Rodriguez — Billing Profile & Reimbursement Data

Sign up for Luis Rivera Rodriguez — Billing Profile & Reimbursement Data policy alerts

Luis Rivera Rodriguez — Billing Profile & Reimbursement Data

Sign up for Luis Rivera Rodriguez — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References