Physician
GHP C.S.P.
GHP C.S.P. was paid $3.61M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 45% of everything it billed.
33Billing provider infoGHP C.S.P.
SANTURCE, PR 00912
SANTURCE, PR 00912
33aNPI1164738167assigned 08/27/2010
33bProvider typePediatrics Physician
28Total paid$3.61M
24GClaims69,211
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#2 of 194
Median peer was paid$7K
This provider vs. median535×
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 | 6,126 | $200K | |
| 2019 | 6,892 | $187K | |
| 2020 | 3,421 | $184K | |
| 2021 | 4,824 | $320K | |
| 2022 | 8,968 | $474K | |
| 2023 | 17,750 | $1.02M | |
| 2024incomplete | 21,230 | $1.23M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 45% | 31,964 | 10,390 | $1.64M |
| 99222 | Initial hospital care, per day, moderate complexity | 25% | 11,218 | 9,787 | $905K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 7.2% | 2,811 | 2,282 | $262K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.2% | 4,699 | 3,268 | $260K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 5.1% | 6,291 | 5,749 | $185K |
| 99241 | 4.4% | 3,483 | 3,308 | $158K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.4% | 3,591 | 3,493 | $123K |
| 99221 | 2.2% | 5,129 | 4,924 | $79K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $2K |
| 99243 | <1% | 13 | 12 | $420.00 |
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 officialCUEVAS MARRERO, JAVIER (PRESIDENT)