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Treatment Tracker

SIXTO PEREZ MD

400 AVE FD ROOSEVELT CLINICA LAS AMERICAS SUITE 409, SAN JUAN, PR, 00918 | (787) 250-7338

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $917 per patient in 2014.
They performed about 76 services per patient. Here’s how this provider compares.
Number of
Patients
159
Rank: 8th
out of 75 providers in this state & specialty
Services
Performed
29,018
Rank: 7th
out of 75 providers in this state & specialty
Avg Services
Per Patient
182.5 This Provider is in the top 10%
Avg 76.4
Total Paid
by Medicare
$530K
Rank: 3rd
out of 75 providers in this state & specialty
Avg Paid
Per Patient
$3,331 This Provider is in the top 10%
Avg $917

Note: About 91% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider in 2014.

Individuals

WILLIAM CRUZ

Organizations

METROHEALTH, INC.

LABORATORIO CLINICO BAI...

Patients saw before

SIXTO PEREZ MD

Patients saw after

Organizations

LABORATORIO CLINICO BAI...

METROHEALTH, INC.

This Provider's Services

This provider performed 43 different services in 2014
All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
drug
DRUGS

Injection, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
11,300
times performed,
39% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

14
patients got this service, 9% of his patients
11.7
average number of visits a patient made for this service
$314,705an average of $28 per time performed $246,227
an average of $22 per time performed
drug
DRUGS

Injection, epoetin alfa, (for non-esrd use), 1000 units

Service Code: J0885
Performed in an office
2,020
times performed,
7% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

12
patients got this service, 8% of his patients
4.8
average number of visits a patient made for this service
$23,129an average of $11 per time performed $17,998
an average of $9 per time performed
drug
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
322
times performed,
1% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

41
patients got this service, 26% of his patients
7.9
average number of visits a patient made for this service
$419an average of $1 per time performed $325
an average of $1 per time performed
medical
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
274
times performed,
0.94% of his services

4th 12th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 9% of his patients
9.9
average number of visits a patient made for this service
(Peers: 6.7)
$6,258an average of $23 per time performed $4,757
an average of $17 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
262
times performed,
0.9% of his services

5th 3rd

most performed service for this provider most performed service in this state & specialty

114
patients got this service, 72% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.7)
$15,440an average of $59 per time performed $10,572
an average of $40 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
242
times performed,
0.83% of his services

6th 10th

most performed service for this provider most performed service in this state & specialty

24
patients got this service, 15% of his patients
10.1
average number of visits a patient made for this service
(Peers: 5.8)
$22,462an average of $93 per time performed $16,500
an average of $68 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
96
times performed,
0.33% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

11
patients got this service, 7% of his patients
8.7
average number of visits a patient made for this service
$58an average of $1 per time performed $44
an average of $0 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
84
times performed,
0.29% of his services

8th 18th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 11% of his patients
4.7
average number of visits a patient made for this service
(Peers: 3.4)
$4,191an average of $50 per time performed $3,002
an average of $36 per time performed
drug
NA

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
65
times performed,
0.22% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in PR perform this service

13
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$5,010an average of $77 per time performed $3,756
an average of $58 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
18
times performed,
0.06% of his services

10th 19th

most performed service for this provider most performed service in this state & specialty

18
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,336an average of $130 per time performed $984
an average of $55 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Sixto Perez
Average for Hematology & Oncology Providers in Puerto Rico

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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