Centro De Cirugia Pediatrica

Centro De Cirugia Pediatrica was paid $128K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99242, — 48% of everything it billed.

33Billing provider infoCENTRO DE CIRUGIA PEDIATRICA
MERCEDITA, PR 00715

33aNPI1568495190assigned 07/08/2006

33bProvider typePediatric Surgery Physician

28Total paid$128K

24GClaims3,338

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Surgery Physician providers in Puerto Rico

Rank by total paid#2 of 8

Median peer was paid$28K

This provider vs. median4.6×

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	710	$25K
2019	718	$22K
2020	341	$13K
2021	425	$17K
2022	436	$18K
2023	448	$18K
2024incomplete	260	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99242		48%	1,584	1,438	$61K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	34%	1,324	1,161	$43K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.9%	161	45	$11K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.9%	165	135	$9K
99252		2.7%	104	89	$3K

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 officialPINZON, ODETTE (ADMINISTRATOR)