Candelario, Karinee

Candelario, Karinee was paid $12K by Medicaid between Aug 2021 and Oct 2024, across 7 billing codes. Its largest line is 96160, — 91% of everything it billed.

33Billing provider infoCANDELARIO, KARINEE
MOROVIS, PR 00687

33aNPI1508834557assigned 03/08/2006

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims2,478

24DCodes billed7

24AFirst – last monthAug 2021 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#80 of 194

Median peer was paid$7K

This provider vs. median1.8×

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
2021	36	$908.64
2023	597	$2K
2024incomplete	1,845	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96160		91%	608	493	$11K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.0%	149	147	$740.39
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	3.0%	391	350	$368.64
99443		<1%	1,083	831	$0.45
96127		0%	12	12	$0.00
99404		0%	205	196	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	30	29	$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.