Rodriguez-Berrios, Frances

Rodriguez-Berrios, Frances was paid $3K by Medicaid between Aug 2022 and Mar 2023, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 66% of everything it billed.

33Billing provider infoRODRIGUEZ-BERRIOS, FRANCES
SAN JUAN, PR 00921

33aNPI1285036715assigned 09/16/2014

33bProvider typeGastroenterology Physician

28Total paid$3K

24GClaims28

24DCodes billed2

24AFirst – last monthAug 2022 – Mar 2023

Compared with peers

Next to other Gastroenterology Physician providers in Puerto Rico

Rank by total paid#90 of 107

Median peer was paid$47K

This provider vs. median0.1×

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
2022	13	$993.90
2023	15	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	66%	15	15	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	34%	13	13	$993.90

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.