Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1235800327
Physician

Hernandez-Pons Hematology Oncology LLC

Hernandez-Pons Hematology Oncology LLC was paid $944K by Medicaid between Jul 2022 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoHERNANDEZ-PONS HEMATOLOGY ONCOLOGY LLC
SAN JUAN, PR 00909
33aNPI1235800327assigned 09/28/2021
28Total paid$944K
24GClaims10,310
24DCodes billed12
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#9 of 59
Median peer was paid$110K
This provider vs. median8.6×

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$50K$100K2018201920202021202220232024
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
2022186$15K
20232,240$226K
2024incomplete7,884$704K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30% 2,963 1,555 $281K
Q0084 Chemotherapy administration by infusion technique only, per visit 18% 1,820 725 $169K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 16% 1,613 397 $150K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13% 1,096 459 $124K
99223 Prolong inpt eval add15 m 11% 680 486 $108K
96367 2.8% 879 363 $26K
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 2.6% 203 175 $25K
96415 2.4% 333 141 $23K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2.3% 405 147 $22K
96417 1.5% 204 102 $15K
96411 <1% 28 12 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 86 38 $96.24

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 officialHERNANDEZ-PONS, EDUARDO (VICE PRESIDENT)