Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San German › NPI 1194228304
Physician

Elite Pulmonary Care Center PSC

Elite Pulmonary Care Center PSC was paid $123K by Medicaid between Nov 2020 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.

33Billing provider infoELITE PULMONARY CARE CENTER PSC
SAN GERMAN, PR 00683
33aNPI1194228304assigned 03/14/2018
28Total paid$123K
24GClaims1,957
24DCodes billed6
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Puerto Rico

Rank by total paid#7 of 19
Median peer was paid$57K
This provider vs. median2.2×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
202046$2K
2021341$16K
2022496$29K
2023674$46K
2024incomplete400$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 67% 1,361 1,302 $82K
99223 Prolong inpt eval add15 m 17% 145 138 $20K
94726 5.6% 137 125 $7K
94060 4.8% 137 125 $6K
94729 4.7% 137 125 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.7% 40 15 $2K

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 officialTORRES-PEREZ, MARIA DEL MAR (PRESIDENT)