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.

Hospitalist Medical Services, Psc (NPI 1841797743)

Hospitalist Medical Services, Psc is a anesthesiology physician provider located in Manati, Puerto Rico. This profile covers 0 Medicare and 21 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Hospitalist Medical Services, Psc
Address	Carr 2 Km 47.7
City	Manati
State	PR
ZIP	00674
Taxonomy	Anesthesiology Physician
NPI Enumerated	April 9, 2018

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	12,430	$50	$671K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	21,480	$20	$429.5K
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	860	$420	$359K
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…	6,010	$50	$282.3K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	13,210	$20	$198.1K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	780	$230	$177.3K
93040	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…	7,830	$20	$141K
99156	A provider or other qualified healthcare professional, other than the provider performing a diagnostic or therapeutic procedure, administers medication to reduce consciousness, but not render the…	1,200	$100	$114.9K
47562	The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.	420	$250	$105.9K
99157	A provider or other qualified healthcare professional, other than the provider performing a diagnostic or therapeutic procedure, administers medication to reduce consciousness, but not render the…	930	$90	$80.2K

Showing 1–10 of 21

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

Hospitalist Medical Services, Psc — 4 of 21 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. Puerto Rico median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50590	Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.	4	20	120	$580	$193.3K
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.	30	110	270	$280	$148.1K
99156	A provider or other qualified healthcare professional, other than the provider performing a diagnostic or therapeutic procedure, administers medication to reduce consciousness, but not render the…	6	20	330	$120	$131.8K
93040	The provider records the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to electrodes placed…	2	10	4,830	$20	$125.8K
59515	In this global service, the provider provides admission to the hospital for cesarean delivery of the fetus and placenta via an abdominal incision, and inpatient and outpatient postpartum care.…	5	30	100	$310	$109.3K
58558	The provider either biopsies the lining of the uterus (endometrium) or removes polyps, or both, through a hysteroscope ; he may or may not perform a dilation and curettage (D&C). He sends all samples…	19	20	50	$590	$105.5K
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…	12	80	200	$250	$83.6K
99157	A provider or other qualified healthcare professional, other than the provider performing a diagnostic or therapeutic procedure, administers medication to reduce consciousness, but not render the…	6	20	300	$90	$77.4K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	2	230	410	$40	$51.9K
59514	The provider admits the patient to the hospital for delivery, delivers the fetus and placenta via an abdominal incision, and provides care immediately after delivery on the same date of service. This…	12	10	140	$250	$49.5K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hospitalist Medical Services, Psc	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$2M
Jose Ramos	PR	Cardiovascular Disease Physician	$17.5K	$22.5K
Edinson Camargo Arias	PR	Cardiovascular Disease Physician	$17.2K	$0
Jeamarie Pascual-marrero	PR	Otolaryngology Physician	$15K	$0
Maria Ramos-cortes	PR	Cardiovascular Disease Physician	$14.4K	$0
Ruben Perez	PR	Anesthesiology Physician	$7.6K	$0
Luis Molinari Castello	PR	Anesthesiology Physician	$6.3K	$0
Karines Rivera Marrero	PR	Anesthesiology Physician	$2.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Pathology Csp	PR	Clinical Medical Laboratory	$0	$16.9M
Pci Group LLC	PR	Interventional Cardiology Physician	$0	$9.6M
Centro Cardiovascular De Manati Iii Csp	PR	Cardiovascular Disease Physician	$0	$5.7M
Anestesia Del Norte P.s.c.	PR	Specialist	$0	$5M
Mogic Ob-gyn Psc	PR	Obstetrics & Gynecology Physician	$0	$4.9M
Dorado Health Inc	PR	General Acute Care Hospital	$0	$3.7M
Dentistas Asociados Del Norte	PR	General Practice Dentistry	$0	$3M
Crilomil Corp.	PR	Pediatric Dentistry	$0	$2.8M
Atlantic Pathology	PR	Clinical Medical Laboratory	$0	$2.5M
Centro Imagenes Manati Yvf Psc	PR	Diagnostic Radiology Physician	$0	$2.3M

Hospitalist Medical Services, Psc — Billing Profile & Reimbursement Data

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Hospitalist Medical Services, Psc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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