DR Joaquin Balaguer Group PSC
DR Joaquin Balaguer Group PSC was paid $1.15M by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoDR JOAQUIN BALAGUER GROUP PSC
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1194820670assigned 09/13/2006
33bProvider typePodiatrist
28Total paid$1.15M
24GClaims21,441
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Podiatrist providers in Puerto Rico
Rank by total paid#1 of 17
Median peer was paid$62K
This provider vs. median19×
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 | 1,382 | $31K | |
| 2019 | 1,503 | $24K | |
| 2020 | 3,485 | $132K | |
| 2021 | 3,163 | $151K | |
| 2022 | 3,955 | $216K | |
| 2023 | 3,401 | $249K | |
| 2024incomplete | 4,552 | $345K |
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 | 56% | 13,006 | 10,653 | $648K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 35% | 5,865 | 5,295 | $397K |
| 20550 | 3.7% | 1,528 | 1,283 | $43K | |
| 11750 | 2.8% | 330 | 242 | $32K | |
| 99070 | 1.4% | 541 | 519 | $15K | |
| 10061 | <1% | 50 | 50 | $8K | |
| 11721 | <1% | 121 | 119 | $4K |
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 officialBALAGUER, JOAQUIN (PRESIDENT)