Physician
Candelario, Suzette
Candelario, Suzette was paid $3K by Medicaid between Jan 2018 and Jan 2018, across 17 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 64% of everything it billed.
33Billing provider infoCANDELARIO, SUZETTE
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1528032968assigned 02/14/2006
33bProvider typePediatrics Physician
28Total paid$3K
24GClaims696
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2018
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#120 of 194
Median peer was paid$7K
This provider vs. median0.4×
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 | 696 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 64% | 126 | 124 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 36% | 146 | 144 | $894.00 |
| 90696 | <1% | 25 | 25 | $0.01 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 44 | 39 | $0.00 |
| 90620 | 0% | 19 | 19 | $0.00 | |
| 90656 | 0% | 24 | 24 | $0.00 | |
| 90698 | 0% | 23 | 23 | $0.00 | |
| 90716 | 0% | 38 | 38 | $0.00 | |
| 90647 | 0% | 12 | 12 | $0.00 | |
| 90681 | 0% | 13 | 13 | $0.00 | |
| 90649 | 0% | 29 | 29 | $0.00 | |
| 90655 | 0% | 17 | 17 | $0.00 |
5 more codes
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.