San Jorge Childrens Medical Speialties
San Jorge Childrens Medical Speialties was paid $183K by Medicaid between Sep 2018 and Sep 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 40% of everything it billed.
33Billing provider infoSAN JORGE CHILDRENS MEDICAL SPEIALTIES
SAN JUAN, PR 00912
SAN JUAN, PR 00912
33aNPI1689981888assigned 09/09/2010
33bProvider typeSpecialist
28Total paid$183K
24GClaims2,268
24DCodes billed6
24AFirst – last monthSep 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#79 of 316
Median peer was paid$26K
This provider vs. median7.2×
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 | 42 | $2K | |
| 2019 | 97 | $2K | |
| 2020 | 323 | $24K | |
| 2021 | 439 | $38K | |
| 2022 | 230 | $19K | |
| 2023 | 331 | $23K | |
| 2024incomplete | 806 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 40% | 989 | 765 | $73K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 29% | 594 | 364 | $54K |
| 96415 | 25% | 587 | 363 | $45K | |
| 99205 | Prolong outpt/office vis | 2.7% | 38 | 27 | $5K |
| 99443 | 2.6% | 45 | 26 | $5K | |
| 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 | <1% | 15 | 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 officialVELEZ, CARMEN (ADMIN)