Capital Ob-Gyn Group, P.S.C.

Capital Ob-Gyn Group, P.S.C. was paid $190K by Medicaid between Jan 2018 and Jun 2023, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoCAPITAL OB-GYN GROUP, P.S.C.
SAN JUAN, PR 00928

33aNPI1669784245assigned 07/12/2010

33bProvider typeObstetrics & Gynecology Physician

28Total paid$190K

24GClaims4,997

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#40 of 185

Median peer was paid$53K

This provider vs. median3.6×

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	1,171	$37K
2019	1,250	$30K
2020	783	$27K
2021	680	$35K
2022	749	$35K
2023	364	$26K

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	85%	4,766	3,408	$162K
59410		12%	46	45	$24K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.2%	170	162	$4K
76801		<1%	15	15	$350.52

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 officialLLORENS, AMAURY (PRESIDENT)