Physician
Pediatric Neuromuscular LLC
Pediatric Neuromuscular LLC was paid $71K by Medicaid between Mar 2022 and Nov 2024, across 5 billing codes. Its largest line is 99205, Prolong outpt/office vis — 59% of everything it billed.
33Billing provider infoPEDIATRIC NEUROMUSCULAR LLC
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1295408029assigned 07/28/2021
33bProvider typeNeuromuscular Medicine (Psychiatry & Neurology) Physician
28Total paid$71K
24GClaims516
24DCodes billed5
24AFirst – last monthMar 2022 – Nov 2024
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 | 89 | $11K | |
| 2023 | 247 | $39K | |
| 2024incomplete | 180 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 59% | 251 | 218 | $42K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 20% | 105 | 92 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 94 | 61 | $7K |
| 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 | 6.5% | 45 | 32 | $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 | 3.5% | 21 | 12 | $2K |
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 officialMONTALVO ACEVEDO, ALEXANDRA (PRESIDENT)