Pediatrix Medical Group, S.P.

Pediatrix Medical Group, S.P. was paid $3.78M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99462, — 29% of everything it billed.

33Billing provider infoPEDIATRIX MEDICAL GROUP, S.P.
GUAYNABO, PR 00968

33aNPI1528046075assigned 01/05/2006

33bProvider typeNeurology with Special Qualifications in Child Neurology Physician

28Total paid$3.78M

24GClaims64,510

24DCodes billed17

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Neurology with Special Qualifications in Child Neurology Physician providers in Puerto Rico

Rank by total paid#1 of 10

Median peer was paid$91K

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	10,910	$513K
2019	10,393	$579K
2020	9,811	$545K
2021	6,275	$334K
2022	7,415	$372K
2023	9,499	$607K
2024incomplete	10,207	$827K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99462		29%	36,033	20,943	$1.09M
99480	Subsequent intensive care, per day, low birth weight infant	19%	2,068	514	$711K
99460		17%	9,986	8,693	$647K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	8.4%	915	412	$315K
99464		5.9%	3,241	2,899	$222K
99239	Hospital discharge day management, more than 30 minutes	5.1%	1,109	976	$192K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	4.1%	6,672	4,557	$155K
99231	Subsequent hospital care, per day, straightforward or low complexity	2.8%	2,495	857	$108K
99479	Subsequent intensive care, per day, very low birth weight infant	2.5%	291	80	$96K
99222	Initial hospital care, per day, moderate complexity	1.7%	988	927	$65K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	1.5%	144	49	$56K
99238	Hospital discharge day management, 30 minutes or less	1.3%	155	148	$48K

5 more codes

99223	Prolong inpt eval add15 m	1.1%	259	$42K
99477		<1%	98	$34K
99283	Emergency room visit (moderate)	<1%	13	$759.46
99441		<1%	22	$428.61
99442		<1%	21	$389.36

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 officialCHINEA, SHIRLEY (PROVIDER ENROLLMENT ASSOCIATE)