Physician
Orthopaedic Specialties Institute,psc
Orthopaedic Specialties Institute,psc was paid $388K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoORTHOPAEDIC SPECIALTIES INSTITUTE,PSC
PONCE, PR 00717
PONCE, PR 00717
33aNPI1023438710assigned 04/21/2014
33bProvider typeOrthopaedic Surgery Physician
28Total paid$388K
24GClaims7,616
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Puerto Rico
Rank by total paid#8 of 61
Median peer was paid$122K
This provider vs. median3.2×
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 | 1,293 | $27K | |
| 2019 | 1,526 | $42K | |
| 2020 | 363 | $11K | |
| 2021 | 888 | $39K | |
| 2022 | 914 | $48K | |
| 2023 | 1,405 | $114K | |
| 2024incomplete | 1,227 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 3,655 | 3,156 | $176K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 30% | 1,708 | 1,490 | $116K |
| 20611 | 23% | 1,136 | 898 | $89K | |
| 99441 | 1.4% | 220 | 212 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 49 | 48 | $1K |
| 99024 | <1% | 848 | 665 | $468.32 |
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 officialHERNANDEZ-SANTIAGO, RUBEN (PRESIDENT)