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.

Eliel Ortho Medical Corp (NPI 1821072141)

Field	Value
Entity Type	Organization
Organization	Eliel Ortho Medical Corp
Address	Jesus T Pinero Ave 256b
City	San Juan
State	PR
ZIP	00927
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	November 30, 2005

Payer Source	Total Paid
Medicaid	$10.4M
Medicare	$0

Key Findings

ELIEL ORTHO MEDICAL CORP is registered as a Prosthetic/Orthotic Supplier located in SAN JUAN, PR and has been NPI-enumerated since 2005-11-30 (~21 years ago), indicating long-standing presence in the prosthetic/orthotic market. This tenure suggests established operational processes and payer relationships within Medicaid despite limited public billing diversity.

This provider has no Medicare billing on file (none) and reported $10.4M in lifetime Medicaid revenue, making its footprint effectively single‑payer and Medicaid‑dependent at the dataset level. Analysts should treat Medicaid performance as the primary driver of the entity’s financial profile because Medicare contribution is absent.

Revenue concentration is extreme within the Medicaid portfolio: the platform’s precomputed top-3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue, and the listed code L8699 alone is reported with $10.4M in revenue. This indicates that virtually all recorded Medicaid receipts stem from a very narrow set of services.

The Medicaid billing is dominated by L8699 (Prosthetic implant, not otherwise specified): 4.9K claims with an average paid per claim of $2136 and $10.4M revenue. The code mix and unit economics point to an operational focus on prosthetic implants or device supply rather than a diversified orthotics/prosthetics service line, consistent with the supplier taxonomy.

Competitive standing within the state is relatively strong by rank: L8699 billing for this provider ranks #3 of 23 in-state and is listed at the 91th percentile, indicating a leading position among peers in raw rank terms. At the same time, the dataset flags this volume as "typical, unremarkable volume for this code," so while the provider is among the higher-ranked suppliers, the activity level is not characterized as an extreme outlier.

The combination of a single dominant code (L8699) and single-payer concentration (Medicaid only) creates material revenue risk if reimbursement, coding guidance, or contract terms change for that code. Any policy, rate, or coverage adjustment affecting L8699 would be likely to have outsized impact on the provider’s revenue given the $10.4M concentration.

Operational metrics justify targeted monitoring: the clinic reported 4.9K claims and an average paid/claim of $2136 for L8699, which are concrete baselines for trend analysis and peer benchmarking. Analysts should track month-over-month claim counts, average paid per claim, and in-state peer movement on L8699 to detect shifts in utilization, pricing, or referral patterns that could presage revenue changes.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
L8699	Prosthetic implant, not otherwise specified	4,860	$2,140	$10.4M

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

Eliel Ortho Medical Corp — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
L8699	Prosthetic implant, not otherwise specified	3	20	740	$2,660	$4.6M

Nearby Providers

Other providers in the same ZIP code as Eliel Ortho Medical Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Home Care Services LLC	PR	Pediatric Skilled Nursing Facility	$0	$31.8M
Tech Medical Group, Inc.	PR	Prosthetic/Orthotic Supplier	$0	$7.8M
Centro De Cancer De La Universidad	PR	Specialist	$0	$3.8M
Cmt Group, Corp	PR	Health Service Clinic/Center	$2K	$2.3M
Puerto Rico Medical Transport, Inc.	PR	Non-emergency Medical Transport (VAN)	$0	$920.5K
Eddiemar Ortiz Cruz	PR	Hematology & Oncology Physician	$0	$841.6K
Sandra Cerda	PR	Pediatric Dentistry	$0	$656.9K
Sheilla Ocasio Arce	PR	Audiologist	$11.1K	$130.3K
Harry Jimenez	PR	Endocrinology, Diabetes & Metabolism Physician	$11.9K	$95.2K
Eric Carro Jimenez	PR	Interventional Cardiology Physician	$26.9K	$63.7K

Eliel Ortho Medical Corp — Billing Profile & Reimbursement Data

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Eliel Ortho Medical Corp — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References