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.

Neurosleep Puerto Rico LLC (NPI 1912567520)

Field	Value
Entity Type	Organization
Organization	Neurosleep Puerto Rico LLC
Address	Hospital Buen Samaritano
City	Aguadilla
State	PR
ZIP	00603
Taxonomy	Sleep Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	June 17, 2019

Payer Source	Total Paid
Medicaid	$709K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	1,040	$340	$347.7K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	1,040	$200	$203.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	910	$90	$84.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	290	$110	$32.9K
99443	N/A	230	$80	$18.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	390	$40	$16.6K
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	$70	$3.2K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	50	$30	$1.5K
99203	The provider sees a new 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 provider…	10	$70	$990

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

Neurosleep Puerto Rico LLC — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
95819	Electroencephalogram or EEG is a diagnostic test that uses small electrodes attached to the scalp to measure the electrical activity of the brain. In this procedure the provider performs the EEG…	3	30	200	$260	$82.9K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	3	20	170	$140	$56K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	281	900	360	$30	$42.5K
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…	2,504	3,230	330	$10	$42.4K
99203	The provider sees a new 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 provider…	1,271	1,400	160	$50	$29.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	29	70	240	$30	$24.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	145	530	100	$70	$22.9K
99443	N/A	80	210	110	$10	$9.8K
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an…	141	200	140	$1	$1.2K

Nearby Providers

Other providers in the same ZIP code as Neurosleep Puerto Rico LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fidel De Frias Jimenez	PR	Anatomic Pathology & Clinical Pathology Physician	$5.5K	$3.3M
Aguadilla Eye Md Psc	PR	Ophthalmology Physician	$0	$3.3M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Hiram Vera Arocho	PR	Dentist	$0	$2.7M
Clinica De Medicina Fisica Y Electrodiagnostico Inc.	PR	Physical Therapy Clinic/Center	$0	$1.4M
Laboratorio Clinico De Diego Corp	PR	Clinical Medical Laboratory	$13.7K	$1.1M
Gerardo Ortiz Hernandez	PR	General Practice Physician	$3K	$829.8K
Oscar F Cordero Of Dental Csp	PR	Dentist	$0	$800.5K
Dr. Nelson A. Mercado Castro, Csp	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$765.9K
Dr. Adriano Martinez Rivera - Cardiologo, C.s.p.	PR	Medical Specialty Clinic/Center	$0	$647.5K

Neurosleep Puerto Rico LLC — Billing Profile & Reimbursement Data

Sign up for Neurosleep Puerto Rico LLC — Billing Profile & Reimbursement Data policy alerts

Neurosleep Puerto Rico LLC — Billing Profile & Reimbursement Data

Sign up for Neurosleep Puerto Rico LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References