Physician
South Renal Care, P.S.C
South Renal Care, P.S.C was paid $670K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.
33Billing provider infoSOUTH RENAL CARE, P.S.C
PONCE, PR 00717
PONCE, PR 00717
33aNPI1295020790assigned 06/13/2011
33bProvider typeNephrology Physician
28Total paid$670K
24GClaims26,203
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#3 of 81
Median peer was paid$66K
This provider vs. median10×
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 | 1,491 | $37K | |
| 2019 | 1,582 | $49K | |
| 2020 | 1,165 | $72K | |
| 2021 | 1,646 | $113K | |
| 2022 | 3,917 | $116K | |
| 2023 | 7,710 | $133K | |
| 2024incomplete | 8,692 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 48% | 5,361 | 4,805 | $321K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 2,658 | 709 | $162K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 1,661 | 1,385 | $97K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.6% | 1,094 | 379 | $64K |
| 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 | 3.4% | 345 | 310 | $23K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 21 | 13 | $2K |
| 99254 | <1% | 26 | 26 | $1K | |
| 99442 | <1% | 19 | 19 | $347.12 | |
| 1159F | 0% | 3,227 | 2,662 | $0.00 | |
| 3078F | 0% | 2,236 | 1,847 | $0.00 | |
| 3077F | 0% | 655 | 537 | $0.00 | |
| 3066F | 0% | 663 | 539 | $0.00 |
8 more codes
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 officialORTIZ HEREDIA, LUIS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southeast Renal Group PSC | Santa Isabel, PR | $143K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.