Redes Del Sureste
Redes Del Sureste was paid $158K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 46% of everything it billed.
33Billing provider infoREDES DEL SURESTE
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1386953909assigned 09/30/2010
33bProvider typeSpecialist
28Total paid$158K
24GClaims12,631
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#83 of 316
Median peer was paid$26K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 2,497 | $220.00 | |
| 2019 | 1,779 | $8K | |
| 2020 | 573 | $10K | |
| 2021 | 1,505 | $38K | |
| 2022 | 1,985 | $34K | |
| 2023 | 2,734 | $41K | |
| 2024incomplete | 1,558 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 46% | 928 | 854 | $72K |
| 99221 | 24% | 1,273 | 1,172 | $38K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 19% | 1,166 | 1,081 | $30K |
| 99050 | 11% | 9,245 | 7,503 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 19 | 18 | $0.00 |
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 officialTROYA, ARMANDO (PRESIDENT)