Caribbean Musculoskeletal and Rehab LLC

Caribbean Musculoskeletal and Rehab LLC was paid $42K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 77% of everything it billed.

33Billing provider infoCARIBBEAN MUSCULOSKELETAL AND REHAB LLC
ANASCO, PR 00610

33aNPI1114343555assigned 03/10/2014

33bProvider typePain Medicine (Physical Medicine & Rehabilitation) Physician

28Total paid$42K

24GClaims869

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pain Medicine (Physical Medicine & Rehabilitation) Physician providers in Puerto Rico

Rank by total paid#7 of 11

Median peer was paid$149K

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	72	$1K
2019	62	$1K
2020	218	$9K
2021	284	$13K
2022	102	$7K
2023	94	$8K
2024incomplete	37	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	77%	565	540	$33K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	13%	112	104	$6K
97799		5.4%	167	39	$2K
95886		3.9%	13	12	$2K
99222	Initial hospital care, per day, moderate complexity	<1%	12	12	$195.00

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 officialSAHAI, AMOGH (MEDICAL DIRECTOR)