Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Ponce › NPI 1487998787
Clinic

Caribbean Infectology Consulting Group, L.L.C.

Caribbean Infectology Consulting Group, L.L.C. was paid $192K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 68% of everything it billed.

33Billing provider infoCARIBBEAN INFECTOLOGY CONSULTING GROUP, L.L.C.
PONCE, PR 00717
33aNPI1487998787assigned 11/27/2012
28Total paid$192K
24GClaims2,555
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Infusion Therapy Clinic/Center providers in Puerto Rico

Rank by total paid#4 of 9
Median peer was paid$166K
This provider vs. median1.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018641$21K
2019602$20K
2020183$8K
2021391$41K
2022112$16K
2023268$34K
2024incomplete358$51K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 68% 881 664 $130K
99253 18% 811 755 $34K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 14% 839 399 $26K
99254 <1% 24 24 $880.00

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 officialLUGO, LUIS (PRESIDENT)