Clinic
Centro De Neumologia Pediatrica
Centro De Neumologia Pediatrica was paid $570K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoCENTRO DE NEUMOLOGIA PEDIATRICA
SAN JUAN, PR 00917
SAN JUAN, PR 00917
33aNPI1104977230assigned 01/16/2007
33bProvider typeClinic/Center
28Total paid$570K
24GClaims12,830
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#11 of 117
Median peer was paid$38K
This provider vs. median15×
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 | 776 | $14K | |
| 2019 | 1,232 | $42K | |
| 2020 | 334 | $14K | |
| 2021 | 342 | $2K | |
| 2022 | 14 | $0.00 | |
| 2023 | 1,475 | $58K | |
| 2024incomplete | 8,657 | $441K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 2,457 | 1,664 | $141K |
| 99070 | 23% | 2,685 | 1,672 | $130K | |
| 99205 | Prolong outpt/office vis | 21% | 788 | 440 | $120K |
| 94375 | 16% | 1,907 | 1,152 | $92K | |
| 99056 | 5.7% | 913 | 799 | $33K | |
| 94664 | 3.7% | 1,839 | 921 | $21K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.5% | 124 | 114 | $9K |
| 94760 | 1.5% | 1,450 | 1,164 | $9K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 148 | 134 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 163 | 159 | $6K |
| 0001A | <1% | 132 | 115 | $673.88 | |
| 0071A | <1% | 70 | 69 | $480.00 |
4 more codes
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 officialRODRIGUEZ-SANTANA, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Grupo Intensivo Pediatrico De San Juan | San Juan, PR | $5.48M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.