Physician
Centro De Medicina Pulmonar DR Candelario
Centro De Medicina Pulmonar DR Candelario was paid $307K by Medicaid between Feb 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoCENTRO DE MEDICINA PULMONAR DR CANDELARIO
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1174690366assigned 11/30/2006
33bProvider typePulmonary Disease Physician
28Total paid$307K
24GClaims9,823
24DCodes billed10
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#9 of 55
Median peer was paid$68K
This provider vs. median4.5×
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 | 1,061 | $24K | |
| 2019 | 1,136 | $20K | |
| 2020 | 685 | $24K | |
| 2021 | 1,390 | $41K | |
| 2022 | 1,509 | $37K | |
| 2023 | 1,401 | $51K | |
| 2024incomplete | 2,641 | $110K |
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 | 46% | 2,972 | 2,436 | $142K |
| 94060 | 22% | 1,862 | 1,689 | $67K | |
| 94375 | 19% | 985 | 528 | $57K | |
| 94727 | 4.8% | 448 | 406 | $15K | |
| 94729 | 3.9% | 309 | 292 | $12K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 56 | 56 | $6K |
| 94760 | 1.3% | 3,024 | 2,379 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 114 | 68 | $3K |
| 94200 | <1% | 38 | 38 | $517.76 | |
| 1159F | 0% | 15 | 13 | $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 officialCANDELARIO LANZA, JUAN (PRESIDENT)