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NPI 1841569308 · San Juan, PR · Pulmonary Disease Physician
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Joel Nieves Scharon is a pulmonary disease physician provider located in San Juan, Puerto Rico. This profile covers 9 Medicare and 1 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 | Joel Nieves Scharon |
| Address | 400 Ave Franklin D. Roosevelt |
| City | San Juan |
| State | PR |
| ZIP | 00923 |
| Taxonomy | Pulmonary Disease Physician |
| NPI Enumerated | December 29, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $35.8K |
| Medicaid | $1.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 160 | $70 | $10.3K |
| 99233 | The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the… | 100 | $90 | $9.3K |
| 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… | 130 | $60 | $7.8K |
| 94729 | In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream. | 50 | $40 | $2.3K |
| 94375 | The provider performs a respiratory flow volume loop study to differentiate a patient's obstructive pulmonary disorder from restrictive pulmonary disorders. He may also use the procedure to… | 80 | $30 | $2.1K |
| 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… | 20 | $80 | $1.8K |
| 94727 | The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the… | 50 | $30 | $1.7K |
| 90674 | This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL… | 10 | $30 | $420 |
| G0008 | Administration of influenza virus vaccine | 10 | $20 | $210 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
1 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… | 30 | $70 | $1.8K |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 2,805 | 3,230 | 330 | $10 | $42.4K |
Other providers in the same ZIP code as Joel Nieves Scharon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Centro Sononuclear De Rio Piedras | PR | Nuclear Medicine Physician | $0 | $2.4M |
| San Francisco Health System Inc | PR | General Acute Care Hospital | $0 | $1.3M |
| Global Vytronics Psc | PR | Clinical Medical Laboratory | $0 | $1.2M |
| Departamento De Salud Oficial | PR | Clinical Medical Laboratory | $0 | $1M |
| Municipality Of San Juan Pr | PR | Land Ambulance | $41.3K | $812.2K |
| Mariana Cruz Manzano | PR | Dermatology Physician | $7.6K | $715.7K |
| Clinica Dental Barbosa Inc | PR | General Practice Dentistry | $0 | $689.5K |
| Carlos Vives Alvarado | PR | Ophthalmology Physician | $16K | $345.5K |
| Magaly Flores Verdejo | PR | Clinical Medical Laboratory | $11K | $305.4K |
| Jorge Toro | PR | Nuclear Imaging & Therapy Physician | $255.8K | $0 |
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