Breast Care and Surgery Center PSC

Breast Care and Surgery Center PSC was paid $134K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.

33Billing provider infoBREAST CARE AND SURGERY CENTER PSC
COTO LAUREL, PR 00780

33aNPI1366741241assigned 03/18/2011

33bProvider typeSurgical Oncology Physician

28Total paid$134K

24GClaims2,918

24DCodes billed4

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Surgical Oncology Physician providers in Puerto Rico

Rank by total paid#3 of 6

Median peer was paid$102K

This provider vs. median1.3×

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	781	$24K
2019	796	$31K
2020	299	$14K
2021	365	$20K
2022	314	$19K
2023	299	$24K
2024incomplete	64	$4K

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	74%	2,460	2,284	$99K
99244	Office or other outpatient consultation, moderate to high complexity	21%	398	380	$28K
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	4.6%	47	47	$6K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$998.40

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 officialTORO-BURGUETE, JORGE (PRESIDENT)