Medicos Especializados De San Juan

Medicos Especializados De San Juan was paid $82K by Medicaid between Feb 2023 and Nov 2024, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 59% of everything it billed.

33Billing provider infoMEDICOS ESPECIALIZADOS DE SAN JUAN
SAN JUAN, PR 00918

33aNPI1548574635assigned 07/30/2010

33bProvider typeInterventional Pain Medicine Physician

28Total paid$82K

24GClaims787

24DCodes billed4

24AFirst – last monthFeb 2023 – Nov 2024

Compared with peers

Next to other Interventional Pain Medicine Physician providers in Puerto Rico

Rank by total paid#3 of 6

Median peer was paid$7K

This provider vs. median12×

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
2023	93	$9K
2024incomplete	694	$73K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	59%	380	303	$49K
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	38%	299	237	$31K
64483		1.8%	54	48	$1K
64484		<1%	54	48	$656.32

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 officialPORRATA, ALEJANDRO (OWNER)