D&D Breast Surgeons, PSC

D&D Breast Surgeons, PSC was paid $246K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoD&D BREAST SURGEONS, PSC
PONCE, PR 00716

33aNPI1295089084assigned 11/01/2012

33bProvider typeSurgery Physician

28Total paid$246K

24GClaims3,331

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgery Physician providers in Puerto Rico

Rank by total paid#11 of 111

Median peer was paid$28K

This provider vs. median8.7×

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	657	$23K
2019	678	$26K
2020	391	$27K
2021	555	$42K
2022	531	$54K
2023	473	$69K
2024incomplete	46	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	2,189	1,748	$81K
19083		30%	199	170	$74K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	14%	436	341	$35K
99070		14%	152	130	$34K
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	4.2%	88	72	$10K
99244	Office or other outpatient consultation, moderate to high complexity	3.9%	216	199	$10K
99442		1.1%	51	32	$3K

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 officialDIAZ NEGRON, ZULEIKA (PRESIDENT)