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.

Nazareno Enterprises And Services LLC (NPI 1902808108)

Field	Value
Entity Type	Organization
Organization	Nazareno Enterprises And Services LLC
Address	28 Calle Santa Cruz
City	Bayamon
State	PR
ZIP	00961
Taxonomy	Prosthetic/Orthotic Supplier
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$23.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and all reported fee-for-service revenue is from Medicaid, with total Medicaid revenue of $23.8M; in practical terms NAZARENO ENTERPRISES AND SERVICES LLC operates as an effectively single-payer (Medicaid-focused) supplier in the claims dataset. The NPI was enumerated on 2005-06-01 (~21 years ago), indicating a long tenure in the market which can support established relationships with state Medicaid programs and stable billing patterns.

Revenue is highly concentrated in a very narrow set of product lines: the precomputed top 3 Medicaid codes (A9276, A9277, A4230) account for 87.8% of this provider’s Medicaid revenue. Individually those three codes account for $14.4M (60.7%) for A9276, $5M (21.1%) for A9277, and $1.4M (6.0%) for A4230, showing the business depends on a small number of high-volume/high-dollar supply lines.

The code mix identifies the operation as a diabetes-focused DMEPOS supplier: A9276 (sensor; invasive CGM disposable), A9277 (transmitter for CGM), A9278 (receiver/monitor for CGM), and multiple insulin pump supply codes such as A4230 and A4232 indicate primary services are continuous glucose monitoring systems and external insulin pump supplies. The presence of E0784 (external ambulatory infusion pump, insulin) and relatively high avg paid/claim values for device items ($1018 avg for A9276, $651 avg for A9277, $3405 avg for E0784) further supports that this provider sells higher-cost durable/monitoring devices and consumables rather than low-unit ancillary supplies.

Competitive standing by code is mixed across the state: A9277 ranks #1 of 3 providers in-state (100th percentile), signaling that this provider is the leading in-state supplier for CGM transmitters; by contrast A9276 ranks #3 of 4 (33th percentile) and A4230 ranks #2 of 2 (0th percentile), which the source labels as typical, unremarkable volume for those codes. Several other related codes (E0784 and A9278) rank at the 50th percentile region in-state, indicating neither dominance nor negligible presence for those items.

Despite holding the top in-state rank for A9277, the dataset’s plain-English labels characterize many of the provider’s code volumes as "typical, unremarkable volume," so leadership on a narrowly defined code does not necessarily reflect broad market dominance across the diabetes supply category. Review of rank/percentile shows the provider has a clear specialty advantage for at least one high-revenue product (A9277) but is otherwise a modest or typical participant for most CGM and pump-related codes.

The high average paid amounts on key items point to revenue sensitivity to unit pricing and utilization: A9276 carries $1018 avg paid/claim and A9277 $651 avg paid/claim, while E0784 is $3405 avg paid/claim. Given the concentration of revenue in these device and consumable codes, changes in Medicaid coverage, reimbursement rates, or utilization for CGM sensors/ transmitters or insulin pump hardware could materially affect this provider’s Medicaid revenue.

Operational risk is elevated by concentration: with the top three codes accounting for 87.8% of Medicaid revenue and no Medicare business, the provider’s financial exposure is concentrated both by payer (Medicaid-only) and by a small set of diabetes-device codes. Payer strategies or supplier consolidation in Puerto Rico that affect CGM or insulin pump supplies could therefore disproportionately impact this supplier compared with more diversified peers.

Ancillary revenue contributions are small but present: codes such as A9278 ($1M, 4.4% of Medicaid revenue) and A4232 ($486.2K, 2.0% of Medicaid revenue) indicate complementary sales of CGM receivers and pump syringes. These secondary products suggest a full-system supplier model (sensors, transmitters, receivers, infusion sets) that supports patients across multiple consumable and device needs, reinforcing the interpretation that the business is vertically focused on diabetes management supplies.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	14,180	$1,020	$14.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	7,690	$650	$5M
A4230	Infusion set for external insulin pump, non needle cannula type	5,660	$250	$1.4M
E0784	External ambulatory infusion pump, insulin	410	$3,410	$1.4M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2,060	$510	$1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	5,790	$80	$486.2K

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

Nazareno Enterprises And Services LLC — 1 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	3	10	20,040	$550	$9.2M
A4230	Infusion set for external insulin pump, non needle cannula type	2	10	16,190	$150	$2.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	1,670	$630	$2.3M
E0784	External ambulatory infusion pump, insulin	2	10	410	$3,930	$2.1M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	2,060	$540	$860.6K
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	2	10	17,860	$50	$810.1K

Nearby Providers

Other providers in the same ZIP code as Nazareno Enterprises And Services LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cdt Gmsp, Inc	PR	Federally Qualified Health Center (FQHC)	$0	$4.6M
Centro Medico Del Turabo, Inc.	PR	Home Infusion Therapy Pharmacy	$0	$3.9M
Djm Imaging Center LLC	PR	Radiology Clinic/Center	$0	$3.6M
Cdt Centro De Servicios Medicos Integrados Inc.	PR	Clinical Medical Laboratory	$0	$2.3M
Cdt G.m,s.p., Inc Radiologia	PR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Pro-health Clinical Services LLC	PR	Endocrinology, Diabetes & Metabolism Physician	$0	$1.6M
Edilberto Martinez	PR	Maternal & Fetal Medicine Physician	$0	$1.4M
Laboratorio Teresita	PR	Clinical Medical Laboratory	$4.8K	$1.3M
Dr Joaquin Balaguer Group Psc	PR	Podiatrist	$0	$1.2M
San Pablo Pathology Group Inc.	PR	Anatomic Pathology Physician	$0	$1.1M

Nazareno Enterprises And Services LLC — Billing Profile & Reimbursement Data

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Nazareno Enterprises And Services LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References