Physician
PR Oncology LLC
PR Oncology LLC was paid $325K by Medicaid between Aug 2022 and Nov 2024, across 9 billing codes. Its largest line is 96413, Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance — 26% of everything it billed.
33Billing provider infoPR ONCOLOGY LLC
SAN JUAN, PR 00927
SAN JUAN, PR 00927
33aNPI1144842659assigned 05/07/2020
33bProvider typeInternal Medicine Physician
28Total paid$325K
24GClaims4,865
24DCodes billed9
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#46 of 518
Median peer was paid$5K
This provider vs. median65×
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 | |
|---|---|---|---|
| 2022 | 144 | $5K | |
| 2023 | 1,342 | $89K | |
| 2024incomplete | 3,379 | $232K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 26% | 900 | 398 | $84K |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 24% | 972 | 420 | $79K |
| 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 | 18% | 784 | 473 | $59K |
| 96367 | 14% | 820 | 322 | $46K | |
| 96417 | 6.4% | 302 | 117 | $21K | |
| 96402 | 4.1% | 493 | 304 | $13K | |
| 96415 | 3.9% | 280 | 120 | $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 | 2.2% | 138 | 113 | $7K |
| 96523 | 1.1% | 176 | 91 | $4K |
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 officialBAEZ VALLECILLO, LUIS (PRESIDENTE)