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.

Doctors Center Hospital Carolina LLC (NPI 1952897472)

Field	Value
Entity Type	Organization
Organization	Doctors Center Hospital Carolina LLC
Address	Carr 853 Km 11.5 Bo. Barrazas
City	Carolina
State	PR
ZIP	00985
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	July 9, 2018

Payer Source	Total Paid
Medicaid	$742.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9083	Global fee urgent care centers	8,080	$50	$379.6K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	3,990	$90	$342.9K
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	420	$50	$20.5K
S9088	Services provided in an urgent care center (list in addition to code for service)	220	$0	$0

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

Doctors Center Hospital Carolina LLC — 0 of 3 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99051	The provider sees a patient during regular office hours that occur outside of traditional office hours, i.e., in the evening, on a weekend, or on a holiday.	65	80	1,370	$40	$272.9K
S9083	Global fee urgent care centers	10	50	1,520	$40	$206K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	8	60	240	$100	$147.6K
S9088	Services provided in an urgent care center (list in addition to code for service)	10	10	1,850	$20	$98.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Doctors Center Hospital Carolina LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Doctors Center Hospital Carolina LLC	PR	General Acute Care Hospital	$0	$1.1M
Rafael Vicens Rodriguez	PR	Body Imaging Physician	$10.9K	$0

Nearby Providers

Other providers in the same ZIP code as Doctors Center Hospital Carolina LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Instituto De Ojos Y Piel, Inc	PR	Optometrist	$0	$3.2M
Clinical Medical Services Inc	PR	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Health Laboratories Services Inc	PR	Clinical Medical Laboratory	$28.3K	$2.3M
Ada Colon-gavillan	PR	Physical Therapy Clinic/Center	$0	$1.4M
Pedro Rivera Caballero	PR	General Practice Physician	$3.1K	$1.3M
Rivera-revilla Lab LLC	PR	Clinical Medical Laboratory	$4K	$1.3M
Centro Radiodiagnostico Carolina	PR	Diagnostic Radiology Physician	$0	$1.2M
Family Medicine Group Inc.	PR	Adult Medicine Physician	$0	$1.1M
Juan Ledoux	PR	General Practice Dentistry	$0	$968K
Milab LLC	PR	Clinical Medical Laboratory	$1.9K	$889.3K

Doctors Center Hospital Carolina LLC — Billing Profile & Reimbursement Data

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Doctors Center Hospital Carolina LLC — 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