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.

Sherry Santiago-castro (NPI 1922386150)

Sherry Santiago-castro is a neurology with special qualifications in child neurology physician provider located in San Juan, Puerto Rico. This profile covers 0 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Sherry Santiago-castro
Address	725 Ave Ponce De Leon Parada 37.5
City	San Juan
State	PR
ZIP	00919
Taxonomy	Neurology with Special Qualifications in Child Neurology Physician
NPI Enumerated	July 21, 2011

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The provider sees a new 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 provider…	2,390	$150	$361.2K
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…	3,000	$120	$350.4K
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…	1,610	$170	$274K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	1,390	$130	$180.2K
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…	1,570	$70	$105.1K
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…	1,400	$70	$102.1K
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…	380	$110	$40.5K
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…	290	$70	$20.7K
99383	The provider performs a well–patient visit for a child who is between the ages of 5 and 11 who meets the definition of new patient.	220	$30	$6K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	200	$20	$4.5K

Showing 1–10 of 14

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

Sherry Santiago-castro — 3 of 14 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

14 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…	2	30	200	$260	$82.9K
95957	In this procedure, the provider performs computer based analysis of an electroencephalogram, abbreviated as EEG.	2	20	170	$140	$56K
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…	39	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…	477	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…	901	3,230	330	$10	$42.4K
99205	The provider sees a new 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 provider…	3	160	90	$90	$31.8K
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…	154	1,400	160	$50	$29.6K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	98	150	110	$30	$24.3K
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…	119	530	100	$70	$22.9K
95822	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 when…	1	10	20	$50	$1.1K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cossma Inc	PR	Primary Care Clinic/Center	$0	$3M
Morovis Community Health Center, Inc.	PR	Federally Qualified Health Center (FQHC)	$0	$888.2K
Morovis Community Health Center, Inc.	PR	Clinical Medical Laboratory	$0	$870.7K
Jaime Diaz Correa	PR	General Practice Dentistry	$0	$691.3K
Juan Flores-gonzalez	PR	Pulmonary Disease Physician	$8.5K	$638.5K
Ricardo Hernandez-castillo	PR	Pulmonary Disease Physician	$28.6K	$211.9K
Mirelis Acosta	PR	Hematology & Oncology Physician	$6.3K	$215.1K
Roberto Santiago Mendez	PR	Radiation Oncology Physician	$134.6K	$3.8K
Luis Cotto Santana	PR	Hematology & Oncology Physician	$28.5K	$65.3K
Ricardo Alvarado-melendez	PR	Neurology Physician	$10.5K	$74.1K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ammvr Group, Inc	PR	Clinical Medical Laboratory	$8K	$6.7M
Hope Med Psc	PR	Internal Medicine Physician	$0	$865.9K
Ricardo Colacioppo Saavedra	PR	Cardiovascular Disease Physician	$36.3K	$37.3K
Alexis Canino Rodriguez	PR	Cardiovascular Disease Physician	$13.4K	$26.8K
Mario Haddad	PR	Specialist	$25.5K	$0
Veronica Meza-venencia	PR	Nephrology Physician	$15.4K	$7.4K
Jovanna Bertran-lopez	PR	Infectious Disease Physician	$18.7K	$0
Jorge Suarez Colon	PR	General Practice Physician	$18.1K	$0
Maria Martinez Colon	PR	Dermatology Physician	$16.8K	$0
Marigloria Ortiz Gonzalez	PR	Physical Therapist	$12.5K	$0

Sherry Santiago-castro — Billing Profile & Reimbursement Data

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Sherry Santiago-castro — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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