Puerto Rico Medicare Revenue Analysis

CMS Medicare Physician & Other Practitioners data

Puerto Rico has 4K Medicare providers who collectively received $55.2M in Medicare payments, averaging $15K per provider. With below-average per-provider Medicare revenue, Puerto Rico practices may have substantial untapped potential in care management programs and E&M coding optimization.

The most common specialty is Clinical Laboratory with 387 providers, followed by Internal Medicine (381) and General Practice (306). Clinical Laboratory providers in Puerto Rico average $13K annually, with room to grow through CCM, RPM, and AWV program adoption.

The largest Medicare provider concentration is in San Juan (1,013 providers), with Bayamon and Ponce also serving as major healthcare hubs. Practices in these areas face competitive pressure, making revenue optimization through proper coding and program enrollment critical for financial performance.

Data: CMS Medicare Physician & Other Practitioners, 2024Coverage: 3,663 providers analyzedLast updated: January 2026

Total Providers

4K

in Puerto Rico

Total Medicare Payment

$55.2M

Avg Payment / Provider

$15K

Total Services

2.1M

Puerto Rico Performance Signals

Revenue per Provider

$15,080

-81.1% vs benchmark · national avg $79,744

Provider Market Share

0.3% of US

-84.4% vs benchmark · 3,663 providers

CCM Adoption

0.1%

-99.3% vs benchmark · national 11.3%

RPM Adoption

0.0%

-100.0% vs benchmark · national 6.5%

AWV Completion

0.5%

-96.9% vs benchmark · national 17.5%

Key Stats

4K
Total Providers(Puerto Rico)
$15K
Avg Medicare Payment(per provider)
$55.2M
Total Medicare Payments
Clinical Laboratory
Top Specialty(387 providers)

How This Compares

#61 of 62
National rank by avg Medicare payment
-81%vs national average
Puerto Rico Medicare Revenue

Top Opportunities

#1
Chronic Care Management (99490)
$4.9M potential
#2
Annual Wellness Visits (G0438/G0439)
$3.7M potential
#3
Remote Patient Monitoring (99454)
$3.2M potential
Peer group: 3,663 providers
Confidence: High
CMS Medicare Public Data 2024
Data year: 2024

How Puerto Rico Compares

#61
of 62 states
-81%
vs national avg
Strongest Specialty
Clinical Laboratory
387 providers
Biggest Program Gap
AWV (G0438)
0.5% adoption vs 17.5% national

Top Revenue Opportunities in Puerto Rico

#1

Chronic Care Management (99490)

$4.9M
estimated annual opportunity

Only 0.1% of providers bill CCM vs 11.3% national average. 410 additional providers could adopt CCM to close this gap.

Current: 0.1%Target: 11.3%
high confidence· 410 providers
#2

Annual Wellness Visits (G0438/G0439)

$3.7M
estimated annual opportunity

AWV completion at 0.5% trails the 17.5% national average. 620 additional providers could offer AWV services.

Current: 0.5%Target: 17.5%
high confidence· 620 providers
#3

Remote Patient Monitoring (99454)

$3.2M
estimated annual opportunity

RPM adoption is 0.0% vs 6.5% nationally. 237 providers could implement RPM programs.

Current: 0.0%Target: 6.5%
high confidence· 237 providers

Market Opportunities by Specialty

Top 50 Providers in Puerto Rico

ProviderPatientsMedicare $
Laboratorio Clinico Borinquen, Inc5,371$1.4M
Joezer Lugo RanalMD429$1.0M
Rolando JimenezM.D.208$784K
Glenda RodriguezMD160$316K
Guaynabo Ambulatory Surgical Group, Inc282$275K
Laboratorio Clinico Bairoa Inc1,149$271K
Winston Imbert De IturrondoMD42$270K
Jorge ToroMD63$256K
Ronald Vigo VigoM. D.394$254K
Walgreen Co1,291$253K
Carlos GarciaM.D.194$248K
Luis NataliMD396$245K
Walgreen Co1,540$241K
Carlos JimenezMD198$236K
Alexander LugoMD235$235K
Quest Diagnostics Of Puerto Rico Inc1,120$225K
Lee GonzalezM.D.324$218K
Eye Surgery Specialists Of Puerto Rico, Llc221$216K
Alessandro BragettiM.D.225$199K
Gil CortesM.D.342$198K
Abdiel Ramos MercadoM.D.164$193K
William Townsend-PicoM.D.158$192K
Fernando VillamilM.D.132$187K
Luis Ortiz-EspinosaM.D., FAAD212$183K
Walgreen Co1,428$179K
Laboratorio Clinico Irizarry Guasch Inc762$164K
Carlos Henriquez FelipeM.D.223$161K
Medina Medical Transport Ems Corp.332$158K
Ricardo RiveraM.D.112$156K
Manuel UrbinaMD81$147K
Walgreen Co1,075$146K
Roberto Santiago MendezM.D17$135K
Maria Berrocal-FernandezMD238$132K
Sasidhar GuthikondaM.D.502$132K
Walgreen Co1,019$132K
Jeffrey ZuckermanM.D.449$131K
Walgreen Co.1,072$129K
Oscar Soto RaicesMD46$127K
Fernando ZalduondoMD152$126K
Walgreen Co512$125K
Juan Moises GutierrezMD200$124K
Walgreen Co821$122K
Hector Stella EstevezMD55$118K
Nicolas BordasM.D.248$117K
Luma Al-AttarMD56$117K
Walgreen Co843$117K
Walgreen Co985$116K
Walgreen Co872$115K
Maximo Blondet PassalacquaMD,FCCP164$115K
Julio Sanchez-Pont1,006$113K

Scan a Provider in Puerto Rico

Scan a Provider in Puerto Rico

Enter an NPI number for any Medicare provider in Puerto Rico to instantly see missed revenue opportunities.

Run Free Scan