Physician
Critical Care Medicine Services, INC.
Critical Care Medicine Services, INC. was paid $166K by Medicaid between Feb 2018 and Feb 2024, across 9 billing codes. Its largest line is 99245, — 33% of everything it billed.
33Billing provider infoCRITICAL CARE MEDICINE SERVICES, INC.
SAN JUAN, PR 00921
SAN JUAN, PR 00921
33aNPI1669470514assigned 07/13/2005
33bProvider typeGeriatric Medicine (Family Medicine) Physician
28Total paid$166K
24GClaims3,739
24DCodes billed9
24AFirst – last monthFeb 2018 – Feb 2024
Compared with peers
Next to other Geriatric Medicine (Family Medicine) Physician providers in Puerto Rico
Rank by total paid#2 of 16
Median peer was paid$40.07
This provider vs. median4,134×
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 | 807 | $20K | |
| 2019 | 834 | $45K | |
| 2020 | 410 | $20K | |
| 2021 | 799 | $41K | |
| 2022 | 366 | $17K | |
| 2023 | 450 | $22K | |
| 2024incomplete | 73 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99245 | 33% | 502 | 438 | $54K | |
| 99205 | Prolong outpt/office vis | 31% | 454 | 428 | $51K |
| 93000 | 14% | 1,383 | 1,296 | $23K | |
| 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 | 8.0% | 126 | 115 | $13K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 7.0% | 194 | 184 | $12K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.7% | 818 | 648 | $4K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 178 | 79 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 68 | 59 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 16 | 12 | $2K |
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 officialPAOLI-BRUNO, JORGE (MEDICAL DIRECTOR)