Physician
Saint Lukes Memorial Hospital INC
Saint Lukes Memorial Hospital INC was paid $336K by Medicaid between Jan 2024 and Nov 2024, across 14 billing codes. Its largest line is 93000, — 25% of everything it billed.
33Billing provider infoSAINT LUKES MEMORIAL HOSPITAL INC
PONCE, PR 00716
PONCE, PR 00716
33aNPI1306529805assigned 08/10/2023
33bProvider typeAnesthesiology Physician
28Total paid$336K
24GClaims4,533
24DCodes billed14
24AFirst – last monthJan 2024 – Nov 2024
Compared with peers
Next to other Anesthesiology Physician providers in Puerto Rico
Rank by total paid#19 of 42
Median peer was paid$286K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2024incomplete | 4,533 | $336K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93000 | 25% | 1,471 | 1,332 | $85K | |
| 93458 | 19% | 123 | 94 | $65K | |
| 99222 | Initial hospital care, per day, moderate complexity | 14% | 370 | 281 | $49K |
| 99156 | 14% | 379 | 266 | $48K | |
| 99252 | 9.1% | 785 | 666 | $31K | |
| 99157 | 4.6% | 125 | 80 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 182 | 160 | $15K |
| 99070 | 2.6% | 375 | 255 | $9K | |
| 99242 | 1.6% | 162 | 144 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 60 | 58 | $4K |
| 58558 | 1.1% | 12 | 12 | $4K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.1% | 338 | 228 | $4K |
2 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 officialPONTON CRUZ, ELYONEL (PRINCIPAL EJECUTIVO OPERACIONAL)