RLFM Pulmonary Services PSC

RLFM Pulmonary Services PSC was paid $324K by Medicaid between Jan 2018 and Sep 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoRLFM PULMONARY SERVICES PSC
CAGUAS, PR 00725

33aNPI1598006736assigned 03/13/2013

33bProvider typePulmonary Disease Physician

28Total paid$324K

24GClaims7,004

24DCodes billed21

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#8 of 55

Median peer was paid$68K

This provider vs. median4.8×

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	1,264	$25K
2019	636	$13K
2020	453	$14K
2021	836	$49K
2022	1,039	$52K
2023	1,406	$79K
2024incomplete	1,370	$93K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	31%	1,274	1,217	$99K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	1,611	591	$70K
99222	Initial hospital care, per day, moderate complexity	10%	395	358	$33K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	9.7%	216	49	$31K
94664		4.9%	1,601	1,517	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.7%	579	521	$15K
94727		4.1%	166	155	$13K
94375		2.6%	151	140	$8K
99223	Prolong inpt eval add15 m	1.7%	51	46	$6K
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	1.6%	74	66	$5K
94729		1.6%	120	113	$5K
99254		1.6%	126	106	$5K

9 more codes

99442		1.0%	126	$3K
94060		<1%	77	$3K
99253		<1%	60	$2K
94200		<1%	119	$2K
94726		<1%	42	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	106	$1K
99203	Doctor's office visit, new patient (routine)	<1%	14	$913.50
99243		<1%	17	$850.00
94760		<1%	79	$383.45

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 officialFERNANDEZ MEDERO, ROSANGELA (OWNER)