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.

John Danet (NPI 1861432130)

Field	Value
Entity Type	Individual
Organization	John Danet
Address	Los Altos 202
City	Gurabo
State	PR
ZIP	00778
Taxonomy	Pediatric Emergency Medicine (Pediatrics) Physician
NPI Enumerated	June 7, 2006

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	6,030	$170	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	5,960	$130	$745.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	5,050	$60	$308.2K
99220	N/A	2,310	$130	$298.4K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	3,140	$30	$106.7K
99218	N/A	2,190	$40	$92.1K
99219	N/A	950	$50	$48.3K
94664	The provider educates a patient on the use of an aerosol device, nebulizer, metered dose inhaler, or IPPB device and then has the patient demonstrate her understanding. He does this as part of the…	1,840	$10	$25.7K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	230	$90	$19.9K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	780	$30	$19.6K

Showing 1–10 of 15

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

John Danet — 8 of 14 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	153	340	210	$70	$81.7K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	4	180	170	$80	$55.3K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	90	90	$150	$50.7K
99220	N/A	3	80	160	$120	$48K
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…	143	500	130	$90	$43.1K
99219	N/A	16	90	150	$70	$36.4K
99218	N/A	6	120	180	$50	$26.2K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	60	70	$50	$22.3K
99241	Office consultation for a new or established patient, which requires these three key components: a problem focused history; a problem focused examination; and straightforward medical decision making.…	4	100	180	$30	$18.4K
99251	Inpatient consultation for a new or established patient, which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making.	34	40	150	$30	$16.9K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Centro Medico Del Turabo Inc	PR	Multi-Specialty Clinic/Center	$0	$10.8M
Luis Acosta	PR	Pediatrics Physician	$0	$2.2M
Jesus Romero Perez	PR	Diagnostic Radiology Physician	$8.1K	$1.4M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Juan Benitez Santana	PR	General Practice Physician	$3.6K	$1.3M
Francisco Menendez Diaz	PR	General Practice Physician	$0	$986.8K
Jose Rivera Velazquez	PR	Pediatrics Physician	$0	$818.4K
Rejee Areeckal	PR	General Practice Physician	$0	$704.1K
Zoraida Estela Jove	PR	Diagnostic Radiology Physician	$18.1K	$255.1K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advance Therapy Group Psc	PR	Speech-Language Pathologist	$0	$7.4M
Neomed Center, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$2.7M
Tesla Radiology LLC	PR	Diagnostic Radiology Physician	$0	$1.7M
Neomed Center, Inc	PR	Clinical Medical Laboratory	$0	$1.7M
Jose Berdecia	PR	Specialist	$0	$207K

John Danet — Billing Profile & Reimbursement Data

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John Danet — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References