Physician
Grupo Neonatal C.S.P.
Grupo Neonatal C.S.P. was paid $6.02M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 66% of everything it billed.
33Billing provider infoGRUPO NEONATAL C.S.P.
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1154487155assigned 12/28/2006
33bProvider typeNeonatal-Perinatal Medicine Physician
28Total paid$6.02M
24GClaims15,197
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Neonatal-Perinatal Medicine Physician providers in Puerto Rico
Rank by total paid#2 of 8
Median peer was paid$165K
This provider vs. median37×
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 | 2,741 | $983K | |
| 2019 | 3,058 | $995K | |
| 2020 | 2,098 | $628K | |
| 2021 | 2,288 | $889K | |
| 2022 | 1,424 | $465K | |
| 2023 | 1,458 | $901K | |
| 2024incomplete | 2,130 | $1.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 66% | 1,343 | 969 | $3.96M |
| 99468 | 10% | 1,031 | 779 | $606K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.9% | 216 | 185 | $473K |
| 99462 | 4.1% | 4,150 | 3,376 | $249K | |
| 99460 | 4.1% | 4,230 | 3,538 | $246K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 3.6% | 123 | 104 | $215K |
| 99464 | 3.1% | 2,736 | 2,296 | $185K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0% | 1,289 | 1,139 | $61K |
| 99471 | <1% | 79 | 73 | $23K |
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 officialSANTAELLA, ALVARO (PRESIDENT)