Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatria Norte CSP

Pediatria Norte CSP was paid $136K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 53% of everything it billed.

33Billing provider infoPEDIATRIA NORTE CSP
MANATI, PR 00674
33aNPI1447438833assigned 02/07/2008
33bProvider typeSpecialist
28Total paid$136K
24GClaims2,538
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#90 of 316
Median peer was paid$26K
This provider vs. median5.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official REYES, MIGUEL controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201832$1K
2019319$6K
202042$1K
2021440$5K
2022533$4K
2023596$29K
2024incomplete576$89K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 53% 690 641 $73K
99223 Prolong inpt eval add15 m 34% 462 414 $46K
99231 Subsequent hospital care, per day, straightforward or low complexity 7.0% 636 549 $10K
99241 5.5% 523 450 $8K
99245 <1% 186 183 $650.00
99242 <1% 41 28 $150.00

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 officialREYES, MIGUEL (PRESIDENT)
Same official

Other billing entities under REYES, MIGUEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.