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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Raymond Cintron (NPI 1841233533)

Field	Value
Entity Type	Individual
Organization	Raymond Cintron
Address	61 Herman Hill
City	St Croix
State	VI
ZIP	00820
Taxonomy	Gastroenterology Physician
NPI Enumerated	June 13, 2006

Payer Source	Total Paid
Medicare	$67.6K
Medicaid	$0

Key Findings

This provider’s known payer footprint is effectively single‑payer: Total Medicare revenue is $67.6K while Medicaid is listed as none (no Medicaid billing on file). The absence of any Medicaid billing on file indicates the practitioner’s Medicare business dominates payer revenue and any Medicaid-related activity is negligible or not captured here.

Revenue is highly concentrated in a small set of endoscopy and colorectal codes: the top 3 Medicare codes account for 62.0% of Medicare revenue, led by 45385 ($25.3K, 37.3%), followed by G0121 ($9.3K, 13.7%) and 46221 ($7.4K, 10.9%). This concentration means a majority of reimbursement flows from a narrow set of colorectal screening and therapeutic procedures.

The code mix is consistent with a procedural, endoscopy‑centered gastroenterology practice: 45385 (colonoscopic polypectomy) is the single largest revenue driver, G0121 and G0105 together reflect screening colonoscopy work, and 43239 ($6.9K, 10.2%) shows upper endoscopy with biopsies is also a meaningful component. Combined, these codes suggest an operation organized around ambulatory endoscopy services and a balance of screening and therapeutic interventions rather than a visit‑based clinic model.

On competitive standing for colonoscopic polypectomy, 45385 ranks #3307 of 16310 providers nationally (79th percentile; typical, unremarkable volume for this code), indicating above‑median national volume but not among the highest‑volume national peers. In plain terms, the provider performs more polypectomy procedures than many peers but is not a national outlier or dominant leader for this service.

Screening colonoscopy (G0121) shows relatively strong national positioning: it ranks #1048 of 7750 providers nationally (86th percentile; typical, unremarkable volume for this code), signaling higher‑end screening activity compared with peers. Hemorrhoid banding (46221) is a moderate contributor and ranks #303 of 924 providers nationally (66th percentile; typical, unremarkable volume for this code), consistent with a practice that mixes routine office‑based anorectal procedures with endoscopy.

Evaluation & management (E/M) activity is present but secondary to procedures: 99213 generated $3.7K (5.5%) and 99203 generated $3.1K (4.6%) of Medicare revenue, indicating routine office visits support the procedural workload but are not the primary revenue engine. This split—procedures dominating revenue while E/M contributes modestly—is typical of procedurally focused gastroenterology practices.

The provider has long tenure in Medicare files, with NPI enumerated 2006-06-13 (~20 years ago), which supports interpretation of these patterns as an established practice rather than a short‑term billing profile. Long enumeration combined with a concentrated procedure mix suggests operational stability and a sustained focus on endoscopic services in the market.

There are no signs of extreme outlier behavior in the code set: many codes are described as typical or unremarkable for their volumes, and inpatient/observation work is minimal (e.g., 99223 generated $1.4K (2.1%) and ranks #135479 of 139583 providers nationally (0th percentile; typical, unremarkable volume for this code)). Overall the dataset shows a steady, procedure‑centric Medicare practice with no recorded Medicaid activity.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	120	$210	$25.3K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	50	$180	$9.3K
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	40	$180	$7.4K
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.	70	$90	$6.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	30	$180	$4.7K
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	$3.7K
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…	50	$70	$3.1K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	10	$140	$1.9K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	10	$130	$1.7K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	10	$130	$1.4K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. U.S. Virgin Islands Distribution

Raymond Cintron — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	71	80	100	$80	$15.5K
45385	1	10	50	$260	$15.1K
G0121	1	10	30	$250	$9.3K
99213	54	80	100	$50	$7.6K
46221	1	10	40	$180	$7.4K
45380	3	10	30	$240	$5K
G0105	1	10	20	$180	$4.3K
99223	8	10	30	$120	$4.1K
99203	17	30	50	$60	$3.8K
43239	1	10	20	$100	$3.1K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Governor Juan F. Luis Hospital & Medical Center	VI	General Acute Care Hospital	$0	$15.4M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Sherman Washington	CA	Emergency Medicine Physician	$1.7M	$0
Jennifer Roberts	IL	Emergency Medicine Physician	$52.2K	$692.5K
Kevin Stewart	VI	Ophthalmology Physician	$469.5K	$0
Angel Lake	VI	Internal Medicine Physician	$78.2K	$249.8K
Emmanuel Graham	VI	Urology Physician	$318.4K	$0
Ian Manuel Corpus	MN	Family Medicine Physician	$314.8K	$0
Eugene Kim	MN	Diagnostic Radiology Physician	$248.2K	$16.1K
Elizabeth Delgiacco	VI	Hematology & Oncology Physician	$261.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M
Island Dental Specialties Dba Toothworks	VI	Endodontics	$0	$1.5M

Raymond Cintron — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References