Physician
Centro De Pediatria Y Medicina De Familia De Villalba, CSP
Centro De Pediatria Y Medicina De Familia De Villalba, CSP was paid $16K by Medicaid between Jan 2018 and Sep 2022, across 34 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoCENTRO DE PEDIATRIA Y MEDICINA DE FAMILIA DE VILLALBA, CSP
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1174566236assigned 06/14/2006
33bProvider typeGeneral Practice Physician
28Total paid$16K
24GClaims52,302
24DCodes billed34
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#364 of 1,195
Median peer was paid$2K
This provider vs. median8.0×
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 | 9,688 | $8K | |
| 2019 | 21,738 | $1K | |
| 2020 | 9,583 | $3K | |
| 2021 | 7,062 | $3K | |
| 2022 | 4,231 | $1K |
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 | 71% | 28,240 | 23,430 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 859 | 669 | $2K |
| 99442 | 6.0% | 2,948 | 2,507 | $972.60 | |
| 99050 | 4.8% | 2,690 | 2,536 | $780.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.5% | 1,723 | 828 | $403.80 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.7% | 14 | 12 | $277.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 27 | 27 | $162.00 |
| 90630 | <1% | 436 | 377 | $8.00 | |
| 90686 | <1% | 217 | 217 | $6.00 | |
| 90633 | <1% | 98 | 98 | $4.00 | |
| 96127 | <1% | 300 | 284 | $2.56 | |
| 3008F | 0% | 2,772 | 2,754 | $0.00 |
22 more codes
| 1126F | 0% | 1,311 | $0.00 | |
| 1125F | 0% | 1,044 | $0.00 | |
| 3074F | 0% | 272 | $0.00 | |
| 3079F | 0% | 227 | $0.00 | |
| 90680 | 0% | 38 | $0.00 | |
| 3075F | 0% | 87 | $0.00 | |
| 90698 | 0% | 70 | $0.00 | |
| 90620 | 0% | 50 | $0.00 | |
| 90716 | 0% | 53 | $0.00 | |
| 96161 | 0% | 33 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 12 | $0.00 |
| 90649 | 0% | 266 | $0.00 | |
| 1159F | 0% | 3,690 | $0.00 | |
| 90670 | 0% | 146 | $0.00 | |
| 1160F | 0% | 3,709 | $0.00 | |
| 3078F | 0% | 438 | $0.00 | |
| 90734 | 0% | 126 | $0.00 | |
| 3077F | 0% | 246 | $0.00 | |
| 90707 | 0% | 49 | $0.00 | |
| 96160 | 0% | 37 | $0.00 | |
| 90715 | 0% | 59 | $0.00 |
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 officialPEREZ AYBAR, PEDRO (PRESIDENT)