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.

Pedro J Ruiz Lugo (NPI 1912993395)

Field	Value
Entity Type	Individual
Organization	Pedro J Ruiz Lugo
Address	Amistad #38
City	Lajas
State	PR
ZIP	00667
Taxonomy	General Practice Dentistry
NPI Enumerated	September 21, 2005

Payer Source	Total Paid
Medicaid	$24.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	460	$20	$10.5K
D0120	Periodic oral evaluation - established patient	570	$10	$6.2K
D0272	N/A	250	$10	$3.5K
D1999	N/A	120	$10	$1.7K
D0140	Limited oral evaluation – problem focused	100	$10	$1.1K
D1208	Topical application of fluoride - excluding varnish	50	$10	$730
D0230	Intraoral - periapical each additional radiographic image	160	$1	$650

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

Pedro J Ruiz Lugo — 0 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	658	990	1,060	$30	$53.1K
D1999	N/A	809	950	1,350	$10	$35.1K
D0120	Periodic oral evaluation - established patient	559	940	880	$10	$24.2K
D0272	N/A	628	880	710	$10	$20.7K
D1208	Topical application of fluoride - excluding varnish	691	810	500	$10	$16K
D0230	Intraoral - periapical each additional radiographic image	351	480	630	$10	$13.4K
D0140	Limited oral evaluation – problem focused	201	410	90	$20	$4K

Nearby Providers

Other providers in the same ZIP code as Pedro J Ruiz Lugo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$2M
Laboratorio Clinico Irizarry Guasch Inc	PR	Clinical Medical Laboratory	$0	$1.5M
Migrant Health Center, Western Region Inc.	PR	Clinical Medical Laboratory	$0	$634.5K
Daniel Almodovar	PR	Obstetrics & Gynecology Physician	$0	$94.1K
Jeniffer Vega Gonzalez	PR	Chiropractor	$8.3K	$0

Pedro J Ruiz Lugo — Billing Profile & Reimbursement Data

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Pedro J Ruiz Lugo — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References