Physician
Pepino Health Group INC
Pepino Health Group INC was paid $727K by Medicaid between Jan 2018 and Oct 2024, across 57 billing codes. Its largest line is 99051, — 14% of everything it billed.
33Billing provider infoPEPINO HEALTH GROUP INC
SAN SEBASTIAN, PR 00685
SAN SEBASTIAN, PR 00685
33aNPI1699763102assigned 10/10/2005
33bProvider typeGeneral Practice Physician
28Total paid$727K
24GClaims42,691
24DCodes billed57
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#22 of 1,195
Median peer was paid$2K
This provider vs. median355×
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 | 10,388 | $135K | |
| 2019 | 5,107 | $50K | |
| 2020 | 2,563 | $20K | |
| 2021 | 8,417 | $196K | |
| 2022 | 6,938 | $136K | |
| 2023 | 5,156 | $127K | |
| 2024incomplete | 4,122 | $62K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 14% | 2,373 | 1,724 | $101K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.8% | 7,966 | 6,891 | $64K |
| 0002A | 8.5% | 1,715 | 1,673 | $62K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.6% | 4,336 | 3,805 | $55K |
| 0001A | 7.5% | 1,981 | 1,846 | $55K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 6.8% | 773 | 723 | $50K |
| 76830 | Ultrasound, transvaginal | 6.0% | 701 | 641 | $44K |
| 71046 | Radiologic examination, chest; 2 views | 5.0% | 1,956 | 1,850 | $36K |
| 72100 | 4.8% | 1,581 | 1,512 | $35K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4.5% | 568 | 501 | $33K |
| 0003A | 4.1% | 845 | 840 | $30K | |
| 72040 | 3.4% | 1,048 | 1,013 | $25K |
45 more codes
| 76770 | 1.8% | 237 | $13K | |
| 90649 | 1.6% | 1,907 | $12K | |
| 99283 | Emergency room visit (moderate) | 1.6% | 115 | $11K |
| 77066 | Tomosynthesis, mammo | 1.1% | 169 | $8K |
| 90686 | <1% | 2,999 | $7K | |
| 90734 | <1% | 1,830 | $7K | |
| 76536 | <1% | 188 | $7K | |
| 76641 | <1% | 185 | $7K | |
| 90670 | <1% | 1,336 | $7K | |
| 74018 | <1% | 483 | $6K | |
| 71045 | Radiologic examination, chest; single view | <1% | 555 | $6K |
| 0124A | <1% | 142 | $5K | |
| 0072A | <1% | 129 | $5K | |
| 0071A | <1% | 123 | $5K | |
| 73560 | <1% | 326 | $5K | |
| 77080 | <1% | 303 | $5K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 51 | $4K |
| 0013A | <1% | 72 | $3K | |
| 73030 | <1% | 122 | $2K | |
| 90621 | <1% | 89 | $2K | |
| 0004A | <1% | 45 | $2K | |
| 90474 | <1% | 290 | $2K | |
| 90715 | <1% | 502 | $1K | |
| 90620 | <1% | 129 | $1K | |
| 91320 | <1% | 17 | $1K | |
| 90716 | <1% | 755 | $959.25 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 12 | $736.62 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 162 | $526.28 |
| 0073A | <1% | 13 | $480.00 | |
| 0081A | <1% | 19 | $440.00 | |
| 90480 | <1% | 23 | $400.00 | |
| 70250 | <1% | 26 | $343.33 | |
| 90633 | <1% | 652 | $311.09 | |
| 73620 | <1% | 22 | $263.56 | |
| 90707 | <1% | 679 | $142.92 | |
| 90700 | <1% | 429 | $39.80 | |
| 90648 | <1% | 542 | $39.27 | |
| 90723 | <1% | 515 | $0.29 | |
| 90713 | <1% | 246 | $0.19 | |
| 90680 | <1% | 222 | $0.05 | |
| 90744 | <1% | 12 | $0.03 | |
| 90698 | <1% | 58 | $0.02 | |
| 90681 | <1% | 59 | $0.01 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 37 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 21 | $0.00 |
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 officialOLIVERA, JIMMY (ADMINISTRATOR)