Instituto De Enfermedades Pulmonares De P.R., C.S.P.

Instituto De Enfermedades Pulmonares De P.R., C.S.P. was paid $208K by Medicaid between Sep 2018 and Jun 2024, across 5 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.

33Billing provider infoINSTITUTO DE ENFERMEDADES PULMONARES DE P.R., C.S.P.
BAYAMON, PR 00959

33aNPI1477839124assigned 10/26/2011

33bProvider typeInternal Medicine Physician

28Total paid$208K

24GClaims2,515

24DCodes billed5

24AFirst – last monthSep 2018 – Jun 2024

Compared with peers

Next to other Internal Medicine Physician providers in Puerto Rico

Rank by total paid#71 of 518

Median peer was paid$5K

This provider vs. median42×

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	13	$570.44
2019	542	$34K
2020	84	$4K
2021	312	$34K
2022	503	$43K
2023	639	$56K
2024incomplete	422	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	54%	1,678	527	$113K
99223	Prolong inpt eval add15 m	23%	349	326	$48K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	16%	245	54	$33K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.1%	144	39	$8K
99255		2.6%	99	98	$5K

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 officialALCALA MARQUEZ, CARLOS (PRESIDENT)