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.

Leniel Santana (NPI 1912274481)

Field	Value
Entity Type	Individual
Organization	Leniel Santana
Address	Hospital Episcopal San Lucas
City	Ponce
State	PR
ZIP	00733
Taxonomy	Emergency Medical Services (Emergency Medicine) Physician
NPI Enumerated	November 28, 2011

Payer Source	Total Paid
Medicare	$26K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	110	$150	$15.8K
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.	70	$100	$6.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$180	$2.6K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	10	$60	$810
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	10	$10	$70

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

Leniel Santana — 0 of 5 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. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	31	70	100	$140	$16.4K
99291	56	70	40	$170	$9K
99284	30	130	40	$90	$4.7K
99283	99	140	20	$50	$1.9K
93010	137	160	20	$10	$240

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Services Of Fl, LLC	FL	Emergency Medicine Physician	$0	$37.5M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Emergency Medicine Services Of Tn, PC	TN	Emergency Medicine Physician	$0	$12.9M
Ohio Emergency Care Services, Inc	OH	Emergency Medicine Physician	$0	$7.8M
Anthony Bekkerman	GU	Emergency Medicine Physician	$49.5K	$623.9K
Bharat Raju	OH	Family Medicine Physician	$59.6K	$433.8K
Edward Lucas	FL	Emergency Medicine Physician	$165K	$257.3K
Franz Plum	FL	Family Medicine Physician	$397.4K	$0
Austin Mackens	TN	Family Medicine Physician	$211.2K	$141.8K
Matthew Valente	MT	Emergency Medicine Physician	$34.8K	$289.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Primary Medical Group, C.s.p.	PR	Clinic/Center	$0	$861.5K
Jose Battistini-christian	PR	Emergency Medicine Physician	$84.2K	$0
Javier Gonzalez	PR	Emergency Medicine Physician	$22.7K	$0
Manuel Santiago Cummings	PR	Anesthesiology Physician	$9.2K	$0

Leniel Santana — Billing Profile & Reimbursement Data

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Leniel Santana — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References