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.

Precision Hearing Center Inc (NPI 1972502276)

Key Findings

Field	Value
Entity Type	Organization
Organization	Precision Hearing Center Inc
Address	Edif San Juan Health Center
City	San Juan
State	PR
ZIP	00907
Taxonomy	Audiologist
NPI Enumerated	July 19, 2005

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

PRECISION HEARING CENTER INC reports no Medicare billing on file and $7.3M in lifetime Medicaid revenue, making it effectively a Medicaid-focused practice based on available payer data. The absence of Medicare activity indicates the provider’s revenue exposure is concentrated with state Medicaid programs rather than a dual Medicare/Medicaid payer mix.

Revenue is highly concentrated in a very small set of codes: the top three Medicaid codes account for 66.6% of this provider's total Medicaid revenue, with 92507 contributing 50.4%, 92588 contributing 11.2%, and 92557 contributing 5.0%. This concentration indicates financial dependence on a narrow set of diagnostic audiology services for the bulk of Medicaid receipts.

The service mix is strongly diagnostic-audiology–centric: the highest-revenue codes are 92507, 92588, and 92557 (hearing/communication assessments, inner-ear diagnostic testing, and pure-tone plus speech-recognition testing), and the broader top-25 list includes multiple tympanometry, OAE, and reflex testing codes (92567, 92550, 92587, 92568). Together these codes signal an operation built around high-throughput audiometric and newborn/child hearing screening and diagnostic evaluations rather than device dispensing or surgical procedures.

Competitive standing within the state is dominant for several diagnostic codes: 92588 ranks #1 of 53 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code) and 92557 ranks #1 of 51 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), while 92507 ranks #5 of 141 providers (97th percentile; notably above typical state volume for this code). These rank/percentile positions indicate the provider is a major statewide player for core audiology diagnostics.

There is a clear operational emphasis on pediatric and newborn screening services: 92587 (OAE screening) produced 7.4K claims and $258.2K revenue (3.5% of Medicaid revenue) and ranks #1 of 15 providers in-state (100th percentile; extreme outlier), and several middle-ear and reflex test codes (92567, 92550, 92540) also sit at top state ranks. The pattern of high-volume OAEs and related physiologic testing is consistent with a practice that serves large pediatric/newborn caseloads or a regional screening hub.

Although audiology diagnostics dominate, the provider also bills substantial therapy and E/M codes—97110 (11.7K claims, $280.9K revenue, 3.9%), 97112 (6.5K claims, $181.5K revenue, 2.5%), 97533 (3.6K claims, $188.6K revenue, 2.6%), and 99202 (4.8K claims, $162.5K revenue, 2.2%). This mix suggests a multidisciplinary outpatient footprint that pairs audiology diagnostics with therapeutic and evaluation services, broadening care offerings beyond pure hearing tests.

Operational scale is evidenced by very large claim counts for key codes—92507 has 63.3K claims, 92588 has 19.5K claims, and 92557 has 11.7K claims—combined with relatively low average paid-per-claim amounts (92507 $58 avg paid/claim; 92588 $42; 92557 $31). The high throughput and low per-claim reimbursement profile are typical for diagnostic and screening workflows and point to a high-volume clinic model.

The provider has a long market tenure: the NPI was enumerated on 2005-07-19 (~21 years ago), indicating an established presence in the state. That longevity, paired with multiple 100th-percentile rank positions across audiology diagnostics, supports a conclusion that this is a mature, statewide leader in Medicaid-funded diagnostic hearing services.

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	63,320	$60	$3.7M
92588	The provider performs this noninvasive, diagnostic test to help detect inner ear abnormalities to identify such conditions as functional hearing loss or differentiate between sensory and neural…	19,490	$40	$818.6K
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	11,690	$30	$362.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	11,700	$20	$280.9K
92587	Code 92587 is in the Medicine/Special Otorhinolaryngologic Services Section. It involves special procedures of the ears/nose/throat. This code is for screening purposes with interpretation and…	7,380	$40	$258.2K
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	3,560	$50	$188.6K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	6,480	$30	$181.5K
92552	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear.	6,970	$30	$181.3K
99441	N/A	5,760	$30	$178.5K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	2,140	$80	$175.6K

Showing 1–10 of 41

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

Precision Hearing Center Inc — 11 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97533	In this procedure, the provider uses sensory integrative techniques in patients with established dysfunction of sensory processing, for example, children with autism, and brain injuries. This service…	17	50	1,850	$70	$843.5K
92526	The provider treats a swallowing disorder through medications, rehabilitation, or a feeding tube, to identify the cause of improper functioning.	17	30	1,520	$50	$509.8K
92507	The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…	5	140	2,620	$50	$505.7K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	41	40	1,150	$40	$135.4K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	24	180	2,150	$20	$95.2K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	60	160	3,960	$20	$89.7K
97124	Generally, massage is a technique of applying light or firm pressure, with different movement styles, using palms, fingers, and thumbs, over body muscles and tissues in order to restore better blood…	74	110	2,080	$20	$72.3K
97035	Physical therapists use different treatment modalities that can help strengthen, relax, and heal muscles from their strained conditions.	74	130	3,370	$10	$64.5K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	7	70	950	$20	$60.4K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	66	80	1,220	$20	$51K

Showing 1–10 of 41

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lynette Rios Rodriguez	PR	Physical Therapist	$29.9K	$46.8K
Sandra Sevillano	PR	Physical Therapist	$10.8K	$0
Yaixa Velez Hernandez	PR	Physical Therapist	$5.8K	$0
Lissette Delgado Gonzalez	PR	Audiologist	$4.4K	$0
Edwin Irizarry	PR	Audiologist	$1.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratorio Clinico Dr. Gualberto Rabell	PR	Clinical Medical Laboratory	$0	$1.5M
Sandra Hurtado Ponce De Leon	PR	Driver	$0	$1.3M
Ubaldo Santiago Buono	PR	Geriatric Medicine (Internal Medicine) Physician	$11.5K	$1.2M
Hope Health Psc	PR	Corporate Health Clinic/Center	$0	$920.7K
Francisco Ojeda	PR	General Practice Physician	$0	$818.2K
Raul Montilla	PR	Dentist	$0	$681.7K
Antonio Orraca-gotay	PR	Cardiovascular Disease Physician	$42.3K	$196.7K
Carlos Jimenez	PR	Nuclear Medicine Physician	$236.5K	$0
Nanette De Leon	PR	Ophthalmology Physician	$45.9K	$135.7K
Monica Cespedes Santana	PR	Infectious Disease Physician	$7.9K	$162.2K

Precision Hearing Center Inc — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References