Clinic
San Jorge Children's Medical Specialties,psc
San Jorge Children's Medical Specialties,psc was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is Q0085, Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit — 57% of everything it billed.
33Billing provider infoSAN JORGE CHILDREN'S MEDICAL SPECIALTIES,PSC
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1043412752assigned 06/04/2007
33bProvider typeOncology Clinic/Center
28Total paid$1.16M
24GClaims7,785
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oncology Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 21
Median peer was paid$255K
This provider vs. median4.5×
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 | 746 | $81K | |
| 2019 | 1,237 | $149K | |
| 2020 | 1,227 | $193K | |
| 2021 | 1,222 | $195K | |
| 2022 | 743 | $116K | |
| 2023 | 813 | $123K | |
| 2024incomplete | 1,797 | $302K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0085 | Chemotherapy administration by both infusion technique and other technique(s) (e.g., subcutaneous, intramuscular, push), per visit | 57% | 2,727 | 2,001 | $655K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 2,473 | 2,077 | $188K |
| 96415 | 10% | 902 | 732 | $119K | |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 10% | 978 | 773 | $118K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.5% | 432 | 342 | $41K |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 1.1% | 35 | 12 | $13K |
| 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% | 95 | 85 | $7K |
| 99241 | <1% | 56 | 56 | $5K | |
| 99056 | <1% | 13 | 12 | $4K | |
| 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% | 27 | 27 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 19 | 12 | $3K |
| 99245 | <1% | 12 | 12 | $2K |
1 more codes
| 99443 | <1% | 16 | $960.00 |
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 officialCLAVELL, LUIS (DIRECTOR)
Parent organizationSAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSC