Grupo Hospitalista Pediatrico

Grupo Hospitalista Pediatrico was paid $367K by Medicaid between Jan 2018 and Sep 2023, across 6 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 38% of everything it billed.

33Billing provider infoGRUPO HOSPITALISTA PEDIATRICO
SAN JUAN, PR 00926

33aNPI1194778860assigned 05/17/2006

33bProvider typePediatrics Physician

28Total paid$367K

24GClaims8,575

24DCodes billed6

24AFirst – last monthJan 2018 – Sep 2023

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#26 of 194

Median peer was paid$7K

This provider vs. median54×

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	5,254	$229K
2019	1,410	$47K
2020	118	$13K
2021	331	$35K
2022	606	$35K
2023	856	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	38%	2,749	2,644	$140K
99241		27%	2,517	2,361	$99K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	1,329	428	$59K
99221		9.6%	1,383	1,347	$35K
99222	Initial hospital care, per day, moderate complexity	6.9%	432	418	$25K
99238	Hospital discharge day management, 30 minutes or less	2.3%	165	163	$8K

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, JAVIER (PRESIDENT)