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.

Medtronic Puerto Rico Operations (NPI 1932240702)

Field	Value
Entity Type	Organization
Organization	Medtronic Puerto Rico Operations
Address	B7 Calle Tabonuco
City	Guaynabo
State	PR
ZIP	00968
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	February 12, 2007

Payer Source	Total Paid
Medicaid	$19.7M
Medicare	$0

Key Findings

MEDTRONIC PUERTO RICO OPERATIONS shows no Medicare billing on file and $19.7M in lifetime Medicaid revenue, making its public claims footprint effectively single‑payer (Medicaid)-focused in our dataset. Analysts should treat Medicaid as the primary revenue source when assessing this entity because there is no Medicare activity to balance payer exposure.

Revenue is highly concentrated: the top three Medicaid codes (A9276, E0784, A4230) together account for 72.5% of this provider's total Medicaid revenue. Those three appear as the clear revenue drivers on file—A9276 ($6M, 30.2%), E0784 ($4.9M, 24.7%), and A4230 ($3.5M, 17.6%)—so changes in coverage, pricing, or utilization for these codes would materially affect overall revenue.

The code mix points to a core business in diabetes-related durable medical equipment and supplies: A9276 (CGM sensor), E0784 (external ambulatory insulin infusion pump), and A4230 (infusion set for external insulin pump) dominate revenue and claim counts. This pattern is consistent with a supplier/distributor model focused on continuous glucose monitoring and insulin pump systems rather than episodic clinical services.

Competitive standing is mixed by product line within the state: the provider ranks #1 of 3 for E0784 and #1 of 2 for A4230 at the 100th percentile, indicating a dominant in‑state position for insulin pump hardware and infusion sets. By contrast, A9276 ranks #2 of 4 at the 67th percentile, which signals a sizable but not leading position for CGM sensors compared with state peers.

Beyond diabetes DME, the billing mix includes higher-cost implantable device codes (for example C1874, C1781, C1785), but these account for much smaller shares of Medicaid revenue (each under ~3% per listed figures). Their presence suggests the provider also supplies or bills for certain implantable cardiovascular devices, indicating a limited secondary product line outside of diabetes supplies.

Several high-volume consumable codes show above‑typical state penetration: A4253 (test strips) and A4259 (lancets) both rank #1 in-state, with A4253 described as "notably above typical" and A4259 likewise "notably above typical" for state volume. These items generate many small-dollar claims (e.g., A4253 $1.3M, A4259 $182.7K) and imply the provider holds strong distribution share for routine diabetes testing supplies.

Operational dynamics differ by code type: E0784 generates relatively few claims (1.2K) but a very high avg paid/claim ($4127), producing $4.9M of revenue, whereas A9276 produces many claims (25.9K) at a modest avg paid/claim ($230) to produce $6M. This mix means revenue is driven both by high‑cost, lower‑volume device placements and by high-volume consumable/dispensed supplies, so utilization shifts in either category could have asymmetric impacts on dollars and claims.

The provider has an established NPI tenure (enumerated 2007-02-12, ~19 years ago), which supports the interpretation that these billing patterns reflect a sustained business presence rather than a short-lived or newly created billing entity. For payers and competitors, that longevity suggests existing contracting history and operational relationships within the state Medicaid system.

Medicaid: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	25,900	$230	$6M
E0784	External ambulatory infusion pump, insulin	1,180	$4,130	$4.9M
A4230	Infusion set for external insulin pump, non needle cannula type	26,730	$130	$3.5M
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	25,310	$50	$1.3M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	29,930	$40	$1.1M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1,670	$580	$975.4K
C1874	Stent, coated/covered, with delivery system	880	$660	$578.4K
A4231	Infusion set for external insulin pump, needle type	2,820	$170	$467.8K
C1781	Mesh (implantable)	850	$410	$346.4K
C1785	Pacemaker, dual chamber, rate-responsive (implantable)	120	$1,870	$228.4K

Showing 1–10 of 15

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

Medtronic Puerto Rico Operations — 6 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	2	10	20,040	$550	$9.2M
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	16,190	$150	$2.4M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	2	10	1,670	$630	$2.3M
E0784	External ambulatory infusion pump, insulin	1	10	410	$3,930	$2.1M
C1874	Stent, coated/covered, with delivery system	2	10	880	$990	$1M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	1	10	17,860	$50	$810.1K
A4231	Infusion set for external insulin pump, needle type	1	10	2,820	$170	$467.6K
C1781	Mesh (implantable)	2	10	600	$680	$442.7K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	1	10	2,070	$50	$324.8K
C1785	Pacemaker, dual chamber, rate-responsive (implantable)	1	10	70	$1,860	$128.4K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alivia Specialty, LLC	PR	Specialty Pharmacy	$0	$189M
Cuerpo De Emergencias Medicas De	PR	Land Ambulance	$108.2K	$9.4M
Ortho & Surgical Solutions, Inc	PR	Prosthetic/Orthotic Supplier	$0	$7.8M
Santa Merle	PR	Hematology & Oncology Physician	$4.5K	$2M
Bard Shannon Limited	PR	Prosthetic/Orthotic Supplier	$0	$1.2M
Guaynabo Ambulatory Surgical Group, Inc	PR	Ambulatory Surgical Clinic/Center	$275K	$53.4K
Ricardo Hernandez-castillo	PR	Pulmonary Disease Physician	$28.6K	$211.9K
Maria De Aranzazu Villamil Jarauta	PR	Endocrinology, Diabetes & Metabolism Physician	$42.3K	$151.8K
Juan Malpica-santiago	PR	Pulmonary Disease Physician	$33.2K	$148.3K
Fernando Zalduondo	PR	Diagnostic Radiology Physician	$125.9K	$0

Medtronic Puerto Rico Operations — Billing Profile & Reimbursement Data

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Medtronic Puerto Rico Operations — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References