Instituto Neumologico De Puerto Rico
Instituto Neumologico De Puerto Rico was paid $277K by Medicaid between Jan 2018 and Sep 2024, across 19 billing codes. Its largest line is 94375, — 21% of everything it billed.
33Billing provider infoINSTITUTO NEUMOLOGICO DE PUERTO RICO
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1013907864assigned 10/24/2005
33bProvider typeSpecialist
28Total paid$277K
24GClaims10,591
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#62 of 316
Median peer was paid$26K
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 577 | $17K | |
| 2019 | 397 | $13K | |
| 2020 | 314 | $9K | |
| 2021 | 8,166 | $177K | |
| 2022 | 269 | $13K | |
| 2023 | 371 | $21K | |
| 2024incomplete | 497 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 94375 | 21% | 1,092 | 982 | $58K | |
| 0001A | 18% | 1,313 | 1,285 | $50K | |
| 0002A | 17% | 1,323 | 1,275 | $47K | |
| 94729 | 11% | 708 | 644 | $30K | |
| 94727 | 9.6% | 685 | 627 | $26K | |
| 0011A | 7.8% | 767 | 693 | $22K | |
| 0012A | 7.3% | 652 | 615 | $20K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 293 | 256 | $10K |
| 0003A | 2.2% | 154 | 150 | $6K | |
| 94060 | 1.1% | 69 | 66 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 166 | 162 | $1K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 69 | 27 | $1K |
7 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRODRIGUEZ SERVERA, RAFAEL (SOCIO-GESTOR)