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.

Prime Family Clinic LLC (NPI 1871738351)

Field	Value
Entity Type	Organization
Organization	Prime Family Clinic LLC
Address	Carr 688 Km 14.1 Sabana Branch
City	Vega Baja
State	PR
ZIP	00693
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	December 11, 2008

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	27,120	$30	$840.8K
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…	5,230	$50	$235.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	5,200	$20	$98.7K

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

Prime Family Clinic LLC — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2	390	290	$80	$96.8K
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…	4	500	130	$90	$43.1K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	6	250	180	$30	$23.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Prime Family Clinic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Vazquez Marcano	PR	Family Medicine Physician	$26.1K	$62.1K

Nearby Providers

Other providers in the same ZIP code as Prime Family Clinic LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P.r. Clinical Reference Laboratory Inc	PR	Clinical Medical Laboratory	$19.4K	$3.7M
Laboratorio Clinico Del Mar LLC	PR	Clinical Medical Laboratory	$24.6K	$2.6M
Vega Baja Imaging LLC	PR	Diagnostic Radiology Physician	$0	$2M
Mini S Steps Csp	PR	Speech-Language Pathologist	$0	$1.6M
Vega Baja Radiology Psc	PR	Diagnostic Radiology Physician	$0	$1.5M
Maria Umpierre Marchand	PR	Dentist	$0	$1.3M
Laboratorio Clinico Figueroa P S C	PR	Clinical Medical Laboratory	$170	$826.4K
Prymed Medical Care Inc	PR	Clinical Medical Laboratory	$0	$817.9K
Prymed Medical Care, Inc	PR	Multi-Specialty Clinic/Center	$0	$785.5K
Instituto Medico Del Norte Inc	PR	General Acute Care Hospital	$0	$760K

Prime Family Clinic LLC — Billing Profile & Reimbursement Data

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Prime Family Clinic LLC — 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