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.

Plaza Magnolia Medical, Inc (NPI 1851658249)

Field	Value
Entity Type	Organization
Organization	Plaza Magnolia Medical, Inc
Address	Calle 10 O 13
City	Bayamon
State	PR
ZIP	00956
Taxonomy	Health Service Clinic/Center
NPI Enumerated	April 23, 2012

Payer Source	Total Paid
Medicare	$0
Medicaid	$0

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
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…	50	$0	$0

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

Plaza Magnolia Medical, Inc — 0 of 0 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

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…	2,535	3,230	330	$10	$42.4K

Nearby Providers

Other providers in the same ZIP code as Plaza Magnolia Medical, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lab Clinico Van Scoy	PR	Clinical Medical Laboratory	$29.6K	$2M
Laboratorio Clinico Principal Inc	PR	Clinical Medical Laboratory	$11.5K	$1.6M
United Emergency Medical Corporation	PR	Ambulance	$70.7K	$1.4M
Elsa Justiniano	PR	Dentist	$0	$1.1M
Multiple Medical Preventive Group LLC.	PR	General Practice Physician	$0	$1.1M
Dr.hiramvegaayoroa,psc	PR	Pediatric Dentistry	$0	$835.5K
Quality Gastroenterology LLC	PR	Gastroenterology Physician	$0	$757.9K
Neysha Muniz	PR	Speech-Language Pathologist	$0	$708.3K
Lemuel Martinez-bonilla	PR	Infectious Disease Physician	$9.9K	$689.8K
Ricardo Diaz Irizarry	PR	Personal Emergency Response Attendant	$0	$686.9K

Plaza Magnolia Medical, Inc — Billing Profile & Reimbursement Data

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Plaza Magnolia Medical, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References