Seccion a Ninos Con Necesidades Especiales

Seccion a Ninos Con Necesidades Especiales was paid $281K by Medicaid between Jan 2018 and Sep 2024, across 18 billing codes. Its largest line is 97533, — 32% of everything it billed.

33Billing provider infoSECCION A NINOS CON NECESIDADES ESPECIALES
PONCE, PR 00716

33aNPI1174645089assigned 04/04/2007

33bProvider typeHealth Service Clinic/Center

28Total paid$281K

24GClaims10,549

24DCodes billed18

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Health Service Clinic/Center providers in Puerto Rico

Rank by total paid#9 of 66

Median peer was paid$16K

This provider vs. median18×

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	3,410	$102K
2019	2,941	$79K
2020	159	$6K
2021	1,135	$29K
2022	2,141	$40K
2023	520	$15K
2024incomplete	243	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97533		32%	1,497	791	$89K
92526		21%	2,392	817	$58K
92507	Treatment of speech, language, voice, communication, and/or auditory processing disorder	17%	2,435	761	$49K
97112	Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination	10%	1,356	443	$29K
97110	Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion	8.5%	1,393	446	$24K
92523		2.1%	58	41	$6K
99245		2.0%	148	148	$6K
97799		1.3%	313	94	$4K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	216	206	$3K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.2%	57	38	$3K
97530	Therapeutic activities, direct patient contact, each 15 minutes	1.1%	82	25	$3K
92570		<1%	165	161	$2K

6 more codes

99205	Prolong outpt/office vis	<1%	119	$2K
97803		<1%	25	$1K
92557		<1%	28	$781.18
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	138	$560.00
96127		<1%	112	$225.57
97532		0%	15	$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 officialRODRIGEZ, CARMEN (DIRECTORA EJECUTIVA)