Physician
Caribbean Heart Institute LLC
Caribbean Heart Institute LLC was paid $5.69M by Medicaid between Jun 2018 and Dec 2024, across 31 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 27% of everything it billed.
33Billing provider infoCARIBBEAN HEART INSTITUTE LLC
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1285181164assigned 09/08/2016
33bProvider typeCardiovascular Disease Physician
28Total paid$5.69M
24GClaims61,264
24DCodes billed31
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Puerto Rico
Rank by total paid#3 of 174
Median peer was paid$109K
This provider vs. median52×
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 | 1,369 | $58K | |
| 2019 | 8,068 | $461K | |
| 2020 | 9,426 | $824K | |
| 2021 | 9,686 | $979K | |
| 2022 | 11,098 | $1.16M | |
| 2023 | 10,567 | $1.03M | |
| 2024incomplete | 11,050 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 27% | 6,932 | 5,781 | $1.51M |
| 33285 | 12% | 202 | 136 | $700K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 13,816 | 10,525 | $635K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.9% | 5,160 | 2,565 | $504K |
| 93224 | 8.1% | 4,385 | 3,727 | $459K | |
| 93880 | 8.0% | 3,707 | 3,041 | $453K | |
| 93925 | 5.5% | 2,015 | 1,603 | $315K | |
| 93970 | 4.3% | 2,032 | 1,613 | $242K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 4,001 | 3,332 | $224K |
| 93000 | 3.2% | 10,669 | 7,783 | $182K | |
| 93015 | 1.8% | 898 | 826 | $102K | |
| 93288 | 1.5% | 2,246 | 1,756 | $83K |
19 more codes
| 93784 | 1.1% | 1,013 | $65K | |
| 93923 | <1% | 444 | $36K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 163 | $34K |
| 93922 | <1% | 494 | $24K | |
| 99221 | <1% | 284 | $22K | |
| 99253 | <1% | 536 | $21K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 206 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 186 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 867 | $9K |
| 93272 | <1% | 276 | $8K | |
| 95923 | <1% | 88 | $5K | |
| 99243 | <1% | 92 | $4K | |
| 99442 | <1% | 100 | $4K | |
| 99255 | <1% | 81 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 79 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 89 | $2K |
| 93280 | <1% | 35 | $1K | |
| 99443 | <1% | 12 | $365.32 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 156 | $337.40 |
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 officialJIMENEZ REYES, LUIS (PRESIDENT)