Jerrdam Medical, CSP
Jerrdam Medical, CSP was paid $7K by Medicaid between Sep 2018 and Oct 2021, across 5 billing codes. Its largest line is 90686, — 71% of everything it billed.
33Billing provider infoJERRDAM MEDICAL, CSP
RIO PIEDRAS, PR 00921
RIO PIEDRAS, PR 00921
33aNPI1043381080assigned 11/13/2006
33bProvider typeSpecialist
28Total paid$7K
24GClaims627
24DCodes billed5
24AFirst – last monthSep 2018 – Oct 2021
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#194 of 316
Median peer was paid$26K
This provider vs. median0.3×
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 | 32 | $304.48 | |
| 2019 | 126 | $1K | |
| 2020 | 362 | $4K | |
| 2021 | 107 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 71% | 251 | 246 | $5K | |
| 90674 | 15% | 35 | 35 | $984.55 | |
| 0002A | 10% | 18 | 15 | $680.00 | |
| 0001A | 3.9% | 15 | 13 | $254.10 | |
| G0008 | Administration of influenza virus vaccine | 0% | 308 | 303 | $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 officialRUIZ ROMAN, JORGE (PRESIDENTE)