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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. States
  3. Puerto Rico

Puerto Rico Medicare Spending

Medicare provider payments and utilization data for Puerto Rico (PR)

🔎 Data Analysis

Puerto Rico received $866.2M in total Medicare provider payments across 10 years of data.

The top specialty by spending is Centralized Flu, accounting for $6.2M in payments across 85 providers.

In 2023, 3.7K providers were actively billing Medicare in Puerto Rico.

Annual Medicare spending declined 48% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Total Payments (10yr)
$866.2M
-18.1% vs 2022
Active Providers (2023)
3.7K
2.1M services
Top Specialty
Centralized Flu
$6.2M total
Specialties
30
$15.1K per provider

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2014$106.6M3.5M5.4K—
2015$98.7M3.2M5.3K-7.4%
2016$96.3M3.1M5.3K-2.5%
2017$84.0M2.5M5.0K-12.7%
2018$95.5M2.7M4.9K+13.6%
2019$97.4M2.7M4.8K+2.1%
2020$74.1M2.2M4.3K-24.0%
2021$91.0M2.8M4.4K+22.8%
2022$67.4M2.8M3.9K-25.9%
2023$55.2M2.1M3.7K-18.1%

Top Providers in Puerto Rico

#ProviderSpecialtyPaymentsServices
1Laboratorio Clinico Borinquen, IncClinical Laboratory$1.4M130.1K
2Joezer Lugo RanalPhysical Medicine and Rehabilitation$1.0M263.9K
3Rolando JimenezHematology-Oncology$784.2K50.6K
4Glenda RodriguezGeneral Practice$316.2K17.1K
5Guaynabo Ambulatory Surgical Group, IncAmbulatory Surgical Center$275.0K491
6Laboratorio Clinico Bairoa IncClinical Laboratory$271.3K25.5K
7Winston Imbert De IturrondoRadiation Oncology$270.1K1.5K
8Jorge ToroNuclear Medicine$255.8K313
9Ronald Vigo VigoNephrology$253.7K3.5K
10Walgreen CoCentralized Flu$253.3K14.5K
11Carlos GarciaNuclear Medicine$248.0K3.2K
12Luis NataliNeurology$245.0K2.2K
13Walgreen CoCentralized Flu$241.3K17.1K
14Carlos JimenezNuclear Medicine$236.5K1.1K
15Alexander LugoDermatology$234.7K2.4K
16Quest Diagnostics Of Puerto Rico IncClinical Laboratory$224.6K21.4K
17Lee GonzalezInternal Medicine$217.8K3.2K
18Eye Surgery Specialists Of Puerto Rico, LlcAmbulatory Surgical Center$216.2K366
19Alessandro BragettiPhysical Medicine and Rehabilitation$199.0K2.0K
20Gil CortesDermatology$198.2K3.6K
21Abdiel Ramos MercadoInfectious Disease$192.7K2.7K
22William Townsend-PicoOphthalmology$192.0K4.4K
23Fernando VillamilOrthopedic Surgery$187.3K772
24Luis Ortiz-EspinosaDermatology$183.3K1.8K
25Walgreen CoCentralized Flu$179.4K13.2K

Most Billed Procedures in Puerto Rico

CodeDescriptionPaymentsServicesProviders
99213Established patient office or other outpatient visit, 20-29 minutes$6.4M109.9K1.5K
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count$6.1M521.3K140
99214Established patient office or other outpatient visit, 30-39 minutes$3.1M37.7K474
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$1.7M28.6K218
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$1.6M17.9K167
99285Emergency department visit with high level of medical decision making$1.1M8.0K69
66984Removal of cataract with insertion of prosthetic lens$986.1K1.9K41
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$975.1K7.4K199
99203New patient office or other outpatient visit, 30-44 minutes$867.0K11.9K475
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function$703.0K6.2K164
92012Established patient problem focused exam of visual system$639.7K11.0K148
J0897Injection, denosumab, 1 mg$621.1K34.2K2
99291Critical care, first 30-74 minutes$618.0K3.6K69
A0429Ambulance service, basic life support, emergency transport (bls-emergency)$608.3K1.9K49
99284Emergency department visit with moderate level of medical decision making$591.5K6.4K127
88305Pathology examination of tissue using a microscope, intermediate complexity$559.8K11.6K54
84443Blood test, thyroid stimulating hormone (tsh)$544.8K33.2K321
99204New patient office or other outpatient visit, 45-59 minutes$532.2K4.7K199
80061Blood test, lipids (cholesterol and triglycerides)$512.2K39.8K336
36415Insertion of needle into vein for collection of blood sample$472.6K75.6K382

Spending by Specialty

SpecialtyPaymentsProvidersAvg per Provider
Centralized Flu$6.2M85$73.3K
Clinical Laboratory$5.1M387$13.2K
Internal Medicine$4.6M381$12.1K
Cardiology$3.1M206$15.0K
Ophthalmology$2.9M171$16.7K
Diagnostic Radiology$2.7M161$16.6K
Physical Medicine and Rehabilitation$2.2M105$21.0K
Emergency Medicine$2.0M97$20.2K
General Practice$1.8M306$5.7K
Ambulance Service Provider$1.6M84$19.4K
Dermatology$1.6M72$22.3K
Nephrology$1.5M84$18.4K
Pulmonary Disease$1.4M90$15.1K
Hematology-Oncology$1.3M63$20.7K
Neurology$1.3M85$15.3K
Nuclear Medicine$1.1M19$58.2K
Physical Therapist in Private Practice$1.1M67$16.1K
Ambulatory Surgical Center$968.3K17$57.0K
Gastroenterology$937.2K119$7.9K
Otolaryngology$840.7K49$17.2K
Pathology$835.8K53$15.8K
Infectious Disease$824.4K58$14.2K
Orthopedic Surgery$811.3K84$9.7K
Family Practice$806.2K80$10.1K
Endocrinology$714.3K71$10.1K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.