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.

Instituto De Radioterapia Avanzada Del Este, Psc (NPI 1962777052)

Field	Value
Entity Type	Organization
Organization	Instituto De Radioterapia Avanzada Del Este, Psc
Address	55 Calle Antonio Lopez S
City	Humacao
State	PR
ZIP	00791
Taxonomy	Radiation Oncology Clinic/Center
NPI Enumerated	March 21, 2012

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.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77385	N/A	1,120	$340	$380.9K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	1,760	$120	$207.7K
77014	N/A	2,750	$60	$162.1K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	1,820	$50	$85.4K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	510	$130	$67.1K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	310	$180	$53.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	370	$120	$45K
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…	740	$30	$22.1K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	1,130	$20	$21.5K
77290	Before starting radiation therapy, a physician needs to know the location and size of the cancerous tumor, the radiation doses required to treat the tumor, and the positioning of the radiation beams…	170	$120	$21K

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

Instituto De Radioterapia Avanzada Del Este, Psc — 1 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
77385	N/A	2	10	1,120	$310	$340.5K
77014	N/A	2	10	2,040	$70	$213.8K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	4	10	1,170	$110	$185.6K
G6015	Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session	2	10	510	$160	$174.9K
77336	This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…	4	10	1,230	$50	$81.3K
G6002	Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy	2	10	1,130	$40	$71.4K
77300	Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…	2	10	170	$300	$55.5K
77387	The provider uses imaging guidance to locate the target site for delivery of radiation treatment over the tumor. This helps to protect the surrounding healthy tissues.	6	10	250	$20	$47.7K
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…	321	900	360	$30	$42.5K
77334	The provider designs, develops, and constructs special and customized devices for proper radiation dose delivery and protection of nearby healthy tissues.	3	10	140	$160	$41.6K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Instituto De Radioterapia Avanzada Del Este, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carlos Remedios-carbone	PR	Radiation Oncology Physician	$0	$1M

Nearby Providers

Other providers in the same ZIP code as Instituto De Radioterapia Avanzada Del Este, Psc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr Jose A Nassar & Asociados	PR	Radiology Clinic/Center	$0	$6.3M
Laboratorio Clinico Roxell Inc	PR	Clinical Medical Laboratory	$0	$1.9M
Redes De Salud Inc.	PR	Specialist	$0	$1.7M
Jimergency Medical Transport Inc.	PR	Ambulance	$46.2K	$1.5M
Yamilka Abreu Delgado	PR	Gastroenterology Physician	$0	$1.2M
Eastern Retina Consultants Of Puerto Rico, Psc	PR	Ophthalmology Physician	$0	$1.2M
Servicios Anatomico Patologicos Oriental, Inc.	PR	Clinical Medical Laboratory	$2.6K	$1.1M
Vc Partners LLC	PR	Diagnostic Radiology Physician	$0	$1M
Ivette Rodriguez	PR	Pediatric Dentistry	$0	$936.9K
Ruben Guadalupe	PR	Obstetrics & Gynecology Physician	$0	$889.8K

Instituto De Radioterapia Avanzada Del Este, Psc — Billing Profile & Reimbursement Data

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Instituto De Radioterapia Avanzada Del Este, Psc — 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