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.

Costa Salud Community Health Centers, Inc. (NPI 1912997768)

Field	Value
Entity Type	Organization
Organization	Costa Salud Community Health Centers, Inc.
Address	Calle Munoz Rivera
City	Rincon
State	PR
ZIP	00677
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 24, 2005

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

149 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	5,800	$30	$156.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	9,190	$10	$91.9K
D1999	N/A	5,450	$10	$76.4K
D0210	Intraoral - complete series of radiographic images	1,670	$50	$74.9K
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…	35,400	$1	$70.8K
D0120	Periodic oral evaluation - established patient	5,010	$10	$70.2K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	4,380	$10	$56.9K
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.	3,260	$20	$55.3K
D0150	Comprehensive oral evaluation – new or established patient	2,200	$20	$46.2K
D1208	Topical application of fluoride - excluding varnish	2,670	$10	$37.4K

Showing 1–10 of 149

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

Costa Salud Community Health Centers, Inc. — 1 of 25 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

149 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9083	Global fee urgent care centers	26	50	1,520	$40	$206K
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.	44	500	220	$40	$79.5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	73	990	1,060	$30	$53.1K
99050	In this procedure, the provider renders services to a patient in his office at a time when that office would otherwise be closed.	62	90	1,090	$10	$47K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	135	280	210	$30	$43.8K
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…	198	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…	80	3,230	330	$10	$42.4K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	803	850	3,250	$10	$40.5K
D1999	N/A	116	950	1,350	$10	$35.1K
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…	772	1,400	160	$50	$29.6K

Showing 1–10 of 149

Related Providers

Other providers that share a Tax Identification Number (TIN) with Costa Salud Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Costa Salud Community Health Centers, Inc.	PR	Clinical Medical Laboratory	$1.7K	$665.1K
Luis Melendez-morales	PR	Vascular & Interventional Radiology Physician	$6.8K	$0

Nearby Providers

Other providers in the same ZIP code as Costa Salud Community Health Centers, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hj Asociados	PR	Clinical Medical Laboratory	$5.1K	$265.9K
Yatzmellie Vega Bonet	PR	Internal Medicine Physician	$109.2K	$0

Costa Salud Community Health Centers, Inc. — Billing Profile & Reimbursement Data

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Costa Salud Community Health Centers, Inc. — 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