Physician
MGC Rhinology LLC
MGC Rhinology LLC was paid $247K by Medicaid between Feb 2024 and Nov 2024, across 10 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 27% of everything it billed.
33Billing provider infoMGC RHINOLOGY LLC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1356033757assigned 05/23/2023
33bProvider typeOtolaryngology Physician
28Total paid$247K
24GClaims2,385
24DCodes billed10
24AFirst – last monthFeb 2024 – Nov 2024
Compared with peers
Next to other Otolaryngology Physician providers in Puerto Rico
Rank by total paid#7 of 29
Median peer was paid$79K
This provider vs. median3.1×
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 | 2,385 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 618 | 474 | $67K |
| 31231 | 26% | 377 | 300 | $65K | |
| 31237 | 21% | 137 | 95 | $52K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.2% | 249 | 175 | $18K |
| 92504 | 6.2% | 429 | 323 | $15K | |
| 31525 | 4.8% | 46 | 45 | $12K | |
| 69210 | 2.6% | 281 | 222 | $6K | |
| 99070 | 2.0% | 169 | 134 | $5K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.7% | 47 | 40 | $4K |
| 31575 | 1.0% | 32 | 16 | $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 officialGONZALEZ CARBONELL, MARIO (MD)