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.

David Badillo-torres (NPI 1982995593)

Field	Value
Entity Type	Individual
Organization	David Badillo-torres
Address	Urb. Victoria Calle Camelia # 137
City	Aguadilla
State	PR
ZIP	00603
Taxonomy	Internal Medicine Physician
NPI Enumerated	April 29, 2011

Payer Source	Total Paid
Medicaid	$90
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
1158F	No Summary found for this code	20	$1	$50
1157F	No Summary found for this code	20	$1	$50
1033F	A provider determines that a patient who presents with a diagnosis of asthma does not use tobacco and has no exposure to a passive smoking environment. The provider then does not need to discuss…	20	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	20	$0	$0
3008F	No Summary found for this code	20	$0	$0
3074F	No Summary found for this code	130	$0	$0
3075F	No Summary found for this code	20	$0	$0
3078F	No Summary found for this code	90	$0	$0
4010F	A provider reports this code to indicate that he prescribes for a patient or the patient is currently on an angiotensin converting enzyme, or ACE Inhibitor, or a angiotensin receptor blocker, or ARB…	30	$0	$0
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$0	$0

Showing 1–10 of 11

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

David Badillo-torres — 0 of 2 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,975	3,230	330	$10	$42.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	714	840	340	$1	$16.7K
3078F	No Summary found for this code	465	920	100	$1	$30
3074F	No Summary found for this code	403	870	110	$1	$30
1157F	No Summary found for this code	230	300	70	$1	$30
1158F	No Summary found for this code	339	470	60	$1	$30
3075F	No Summary found for this code	260	310	140	$1	$10
3008F	No Summary found for this code	649	810	100	$1	$1
1033F	A provider determines that a patient who presents with a diagnosis of asthma does not use tobacco and has no exposure to a passive smoking environment. The provider then does not need to discuss…	46	60	130	$0	$0
1170F	The provider assesses the functional status of a patient with rheumatoid arthritis, or RA. The assessment may evaluate the patient’s level of activities of daily living, or ADL, and or status of…	439	590	70	$0	$0

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as David Badillo-torres, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fidel De Frias Jimenez	PR	Anatomic Pathology & Clinical Pathology Physician	$5.5K	$3.3M
Aguadilla Eye Md Psc	PR	Ophthalmology Physician	$0	$3.3M
Hiram Ortega	PR	Gastroenterology Physician	$8.8K	$3.1M
Hiram Vera Arocho	PR	Dentist	$0	$2.7M
Clinica De Medicina Fisica Y Electrodiagnostico Inc.	PR	Physical Therapy Clinic/Center	$0	$1.4M
Laboratorio Clinico De Diego Corp	PR	Clinical Medical Laboratory	$13.7K	$1.1M
Gerardo Ortiz Hernandez	PR	General Practice Physician	$3K	$829.8K
Oscar F Cordero Of Dental Csp	PR	Dentist	$0	$800.5K
Dr. Nelson A. Mercado Castro, Csp	PR	Oral and Maxillofacial Surgery (Dentist)	$0	$765.9K
Neurosleep Puerto Rico LLC	PR	Sleep Medicine (Psychiatry & Neurology) Physician	$0	$709K

David Badillo-torres — Billing Profile & Reimbursement Data

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David Badillo-torres — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References