Centro De Cancer De LA Montana CSP

Centro De Cancer De LA Montana CSP was paid $282K by Medicaid between Jan 2018 and Nov 2019, across 16 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 33% of everything it billed.

33Billing provider infoCENTRO DE CANCER DE LA MONTANA CSP
AIBONITO, PR 00705

33aNPI1225020662assigned 08/22/2005

33bProvider typeInternal Medicine Physician

28Total paid$282K

24GClaims7,632

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2019

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#56 of 518

Median peer was paid$5K

This provider vs. median57×

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	4,364	$156K
2019	3,268	$126K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q0084	Chemotherapy administration by infusion technique only, per visit	33%	1,382	672	$94K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	19%	1,054	495	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	2,261	1,988	$44K
96375	Therapeutic injection; each additional sequential IV push	9.3%	744	372	$26K
96415		7.9%	362	197	$22K
96367		6.3%	710	330	$18K
96523		3.2%	467	435	$9K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	1.2%	178	66	$3K
99242		1.2%	73	73	$3K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	152	37	$3K
96417		<1%	76	55	$3K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	15	14	$693.21

4 more codes

99203	Doctor's office visit, new patient (routine)	<1%	16	$526.50
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	21	$321.57
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	17	$320.00
J7050	Infusion, normal saline solution, 250 cc	<1%	104	$113.29

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 officialSIERRA, WILLIAM (DIRECTOR RH)