Physician
Isv Pediatrics
Isv Pediatrics was paid $16K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 94% of everything it billed.
33Billing provider infoISV PEDIATRICS
YAUCO, PR 00698
YAUCO, PR 00698
33aNPI1033308184assigned 10/15/2007
33bProvider typePediatrics Physician
28Total paid$16K
24GClaims23,272
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#76 of 194
Median peer was paid$7K
This provider vs. median2.4×
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 | 4,123 | $100.00 | |
| 2019 | 2,071 | $43.69 | |
| 2020 | 1,459 | $23.69 | |
| 2021 | 2,887 | $1K | |
| 2022 | 3,604 | $10K | |
| 2023 | 4,712 | $5K | |
| 2024incomplete | 4,416 | $25.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 94% | 2,937 | 2,472 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.2% | 10,307 | 6,626 | $855.34 |
| 99201 | <1% | 112 | 104 | $100.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,005 | 2,187 | $47.38 |
| 99442 | <1% | 461 | 426 | $21.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 197 | 173 | $20.00 |
| 99441 | 0% | 879 | 781 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,950 | 1,393 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 1,059 | 852 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,034 | 1,493 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 331 | 216 | $0.00 |
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 officialSEPULVEDA, ILEANA (PRESIDENT)