Physician
R&H Pediatric Epilepsy , LLC
R&H Pediatric Epilepsy , LLC was paid $249K by Medicaid between Aug 2020 and Nov 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoR&H PEDIATRIC EPILEPSY , LLC
GUAYNABO, PR 00969
GUAYNABO, PR 00969
33aNPI1295373835assigned 12/13/2019
28Total paid$249K
24GClaims1,930
24DCodes billed8
24AFirst – last monthAug 2020 – Nov 2024
Compared with peers
Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Puerto Rico
Rank by total paid#4 of 10
Median peer was paid$91K
This provider vs. median2.7×
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 | |
|---|---|---|---|
| 2020 | 101 | $6K | |
| 2021 | 326 | $28K | |
| 2022 | 397 | $38K | |
| 2023 | 375 | $56K | |
| 2024incomplete | 731 | $120K |
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 | 51% | 1,484 | 1,209 | $127K |
| 95819 | 37% | 268 | 208 | $93K | |
| 95700 | 3.5% | 36 | 13 | $9K | |
| 95719 | 3.0% | 36 | 13 | $7K | |
| 95708 | 2.2% | 36 | 13 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 43 | 40 | $5K |
| 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 | <1% | 13 | 13 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 14 | 14 | $1K |
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 officialRODRIGUEZ HERNANDEZ, JANICE (PRESIDENT)