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NPI 1831152677 · San Juan, PR · Physical Medicine & Rehabilitation Physician
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Edwardo Ramos Cortes is a physical medicine & rehabilitation physician provider located in San Juan, Puerto Rico. This profile covers 5 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Edwardo Ramos Cortes |
| Address | 264 Calle Convento |
| City | San Juan |
| State | PR |
| ZIP | 00912 |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| NPI Enumerated | April 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $134.4K |
| Medicare | $19.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 210 | $60 | $13.1K |
| 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… | 40 | $60 | $2K |
| 99222 | The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 20 | $100 | $1.9K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 20 | $60 | $1.3K |
| 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 | $80 | $1.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 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… | 2,070 | $40 | $89K |
| 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… | 510 | $80 | $38.1K |
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 100 | $80 | $7.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 30 | $1 | $100 |
How this provider's Medicaid billing volume and revenue compare to other Puerto Rico providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Puerto Rico median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99232 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or… | 310 | 460 | 200 | $50 | $60.3K |
| 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… | 747 | 3,230 | 330 | $10 | $42.4K |
| 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… | 388 | 1,400 | 160 | $50 | $29.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 474 | 650 | 120 | $1 | $4.7K |
Other providers in the same ZIP code as Edwardo Ramos Cortes, ranked by combined Medicare and Medicaid revenue.
| 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 |
| San Jorge Associates | PR | Anesthesiology Physician | $0 | $656.6K |
| Rafael Trinidad Hernandez | PR | Endocrinology, Diabetes & Metabolism Physician | $14.1K | $173.5K |
| Jorge Rivera-herrera | PR | Urology Physician | $62.6K | $0 |
| Jaime Pinero-pares | PR | General Practice Physician | $41K | $0 |
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