Physician
PR Professional Medical Group, PSC
PR Professional Medical Group, PSC was paid $63K by Medicaid between Feb 2018 and Jan 2022, across 34 billing codes. Its largest line is 0002A, — 27% of everything it billed.
33Billing provider infoPR PROFESSIONAL MEDICAL GROUP, PSC
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1427359025assigned 11/12/2010
33bProvider typePediatrics Physician
28Total paid$63K
24GClaims5,456
24DCodes billed34
24AFirst – last monthFeb 2018 – Jan 2022
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#50 of 194
Median peer was paid$7K
This provider vs. median9.3×
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 | 1,558 | $9K | |
| 2019 | 1,592 | $12K | |
| 2021 | 2,071 | $37K | |
| 2022 | 235 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 27% | 442 | 427 | $17K | |
| 0001A | 27% | 487 | 454 | $17K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 24% | 940 | 869 | $15K |
| 0004A | 11% | 169 | 169 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.2% | 937 | 869 | $5K |
| 0071A | <1% | 13 | 13 | $520.00 | |
| 0003A | <1% | 15 | 15 | $440.00 | |
| 90651 | <1% | 112 | 111 | $96.00 | |
| 90670 | <1% | 132 | 122 | $84.00 | |
| 90715 | <1% | 125 | 124 | $78.01 | |
| 90734 | <1% | 89 | 87 | $60.00 | |
| 90620 | <1% | 26 | 24 | $42.00 |
22 more codes
| 90698 | <1% | 61 | $42.00 | |
| 90633 | <1% | 90 | $30.00 | |
| 90688 | <1% | 56 | $24.00 | |
| 90686 | <1% | 36 | $12.00 | |
| 90744 | <1% | 27 | $6.00 | |
| 91300 | 0% | 1,146 | $0.00 | |
| 1090F | 0% | 13 | $0.00 | |
| 90707 | 0% | 14 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
| 3725F | 0% | 12 | $0.00 | |
| 3078F | 0% | 14 | $0.00 | |
| 3028F | 0% | 21 | $0.00 | |
| 1160F | 0% | 13 | $0.00 | |
| 1159F | 0% | 13 | $0.00 | |
| 2010F | 0% | 68 | $0.00 | |
| 2001F | 0% | 68 | $0.00 | |
| 91307 | 0% | 34 | $0.00 | |
| 1126F | 0% | 57 | $0.00 | |
| 2000F | 0% | 68 | $0.00 | |
| 3008F | 0% | 68 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 61 | $0.00 |
| 90716 | 0% | 17 | $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 officialBAEZ, JUITXA (TESORERA)