Physician
Breast Cancer Care, CSP
Breast Cancer Care, CSP was paid $587K by Medicaid between Jan 2018 and Jun 2023, across 13 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 35% of everything it billed.
33Billing provider infoBREAST CANCER CARE, CSP
PONCE, PR 00716
PONCE, PR 00716
33aNPI1689018723assigned 04/19/2013
33bProvider typeHematology & Oncology Physician
28Total paid$587K
24GClaims13,633
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Hematology & Oncology Physician providers in Puerto Rico
Rank by total paid#16 of 59
Median peer was paid$110K
This provider vs. median5.3×
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 | 3,817 | $144K | |
| 2019 | 4,918 | $223K | |
| 2020 | 4,246 | $192K | |
| 2021 | 301 | $16K | |
| 2022 | 133 | $6K | |
| 2023 | 218 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 35% | 2,100 | 710 | $208K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 27% | 1,734 | 601 | $158K |
| 96415 | 15% | 1,423 | 528 | $88K | |
| 96417 | 9.9% | 665 | 290 | $58K | |
| 96367 | 6.3% | 1,605 | 513 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 530 | 437 | $16K |
| 96361 | Intravenous infusion, hydration; each additional hour | 2.1% | 1,899 | 598 | $12K |
| J1453 | Injection, fosaprepitant, 1 mg | <1% | 23 | 13 | $4K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,741 | 553 | $3K |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 1,654 | 523 | $2K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 102 | 55 | $170.28 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 92 | 51 | $133.32 |
1 more codes
| J9190 | Injection, fluorouracil, 500 mg | <1% | 65 | $111.80 |
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 officialRODRIGUEZ LUGO, JORGE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| South Cancer Group PSC | Ponce, PR | $897K |
| South Cancer Center | Ponce, PR | $88K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.