Physician
Grupo Pediatrico De Caguas CSP
Grupo Pediatrico De Caguas CSP was paid $389K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 30% of everything it billed.
33Billing provider infoGRUPO PEDIATRICO DE CAGUAS CSP
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1043209745assigned 10/17/2005
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$389K
24GClaims43,992
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Puerto Rico
Rank by total paid#1 of 18
Median peer was paid$1K
This provider vs. median345×
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 | 10,729 | $32K | |
| 2019 | 7,484 | $23K | |
| 2020 | 5,777 | $51K | |
| 2021 | 10,684 | $153K | |
| 2022 | 4,170 | $61K | |
| 2023 | 2,456 | $26K | |
| 2024incomplete | 2,692 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 30% | 5,575 | 4,845 | $116K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 21% | 9,456 | 8,059 | $83K |
| 99442 | 13% | 2,442 | 2,175 | $50K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 10,713 | 8,450 | $26K |
| 0002A | 6.4% | 641 | 638 | $25K | |
| 0001A | 5.3% | 831 | 803 | $21K | |
| 0072A | 4.2% | 451 | 451 | $16K | |
| 0003A | 3.1% | 337 | 333 | $12K | |
| 0012A | 2.8% | 282 | 274 | $11K | |
| 0011A | 2.5% | 299 | 285 | $10K | |
| 0071A | 2.2% | 621 | 484 | $9K | |
| 0013A | 1.7% | 203 | 199 | $7K |
23 more codes
| 90713 | <1% | 1,269 | $2K | |
| 91307 | <1% | 655 | $480.00 | |
| 90700 | <1% | 2,304 | $420.01 | |
| 90688 | <1% | 1,270 | $411.11 | |
| 90707 | <1% | 290 | $406.00 | |
| 90648 | <1% | 1,131 | $204.00 | |
| 90734 | <1% | 159 | $177.00 | |
| 90670 | <1% | 1,057 | $156.00 | |
| 90651 | <1% | 237 | $78.00 | |
| 90744 | <1% | 227 | $42.00 | |
| 90680 | <1% | 57 | $18.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 138 | $17.21 |
| 90685 | <1% | 119 | $12.00 | |
| 90716 | <1% | 245 | $6.00 | |
| 91301 | <1% | 742 | $0.02 | |
| 91300 | <1% | 1,796 | $0.01 | |
| 90686 | 0% | 106 | $0.00 | |
| 90677 | 0% | 40 | $0.00 | |
| 90715 | 0% | 26 | $0.00 | |
| 90633 | 0% | 161 | $0.00 | |
| 90687 | 0% | 72 | $0.00 | |
| 90671 | 0% | 15 | $0.00 | |
| 90681 | 0% | 25 | $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 officialYSERN BORRAS, FERNANDO (PARTNER)