Pediatrix Medical Group of Puerto Rico, P.S.C

Pediatrix Medical Group of Puerto Rico, P.S.C was paid $737K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99283, emergency room visit (moderate) — 98% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP OF PUERTO RICO, P.S.C
SAN JUAN, PR 00907

33aNPI1255319703assigned 01/05/2006

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$737K

24GClaims13,779

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Puerto Rico

Rank by total paid#6 of 15

Median peer was paid$105K

This provider vs. median7.0×

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	116	$2K
2019	275	$5K
2020	741	$19K
2021	410	$17K
2022	878	$32K
2023	6,308	$350K
2024incomplete	5,051	$312K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	98%	13,293	11,316	$724K
99282	Emergency department visit for the evaluation and management, low to moderate severity	1.6%	445	398	$12K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	<1%	26	25	$797.90
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	15	14	$153.00

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 officialVELAZQUEZ, SANDY (PROVIDER ENROLLMENT)