Cardiology Elite, P.C.

Cardiology Elite, P.C. was paid $1.11M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 93458, — 89% of everything it billed.

33Billing provider infoCARDIOLOGY ELITE, P.C.
MAYAGUEZ, PR 00680

33aNPI1093066318assigned 09/26/2012

33bProvider typeInterventional Cardiology Physician

28Total paid$1.11M

24GClaims3,381

24DCodes billed6

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Interventional Cardiology Physician providers in Puerto Rico

Rank by total paid#3 of 22

Median peer was paid$69K

This provider vs. median16×

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	855	$257K
2019	343	$46K
2020	163	$92K
2021	358	$131K
2022	396	$90K
2023	515	$199K
2024incomplete	751	$292K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93458		89%	722	625	$985K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.7%	2,444	2,122	$108K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	113	69	$6K
99222	Initial hospital care, per day, moderate complexity	<1%	63	52	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	12	12	$1K
99441		<1%	27	26	$520.00

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 officialMARTINEZ GONZALEZ, HECTOR (PRESIDENT)