Caribbean Urology LLC

Caribbean Urology LLC was paid $183K by Medicaid between Dec 2022 and Dec 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoCARIBBEAN UROLOGY LLC
COTO LAUREL, PR 00780

33aNPI1558007195assigned 05/06/2022

33bProvider typeUrology Physician

28Total paid$183K

24GClaims2,186

24DCodes billed7

24AFirst – last monthDec 2022 – Dec 2024

Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#16 of 62

Median peer was paid$25K

This provider vs. median7.4×

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
2022	41	$3K
2023	1,197	$97K
2024incomplete	948	$82K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	53%	1,303	1,002	$97K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	37%	734	630	$67K
99223	Prolong inpt eval add15 m	7.0%	77	69	$13K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	1.2%	23	18	$2K
76770		1.0%	18	16	$2K
45990		<1%	14	14	$1K
74420		<1%	17	17	$375.25

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 officialAYALA-MUNIZ, KERMITH (PRESIDENT)