Ponce Pulmonary Group

Ponce Pulmonary Group was paid $10K by Medicaid between Jan 2018 and Mar 2020, across 3 billing codes. Its largest line is 82803, — 82% of everything it billed.

33Billing provider infoPONCE PULMONARY GROUP
PONCE, PR 00717

33aNPI1710927926assigned 06/07/2006

33bProvider typePulmonary Disease Physician

28Total paid$10K

24GClaims517

24DCodes billed3

24AFirst – last monthJan 2018 – Mar 2020

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#43 of 55

Median peer was paid$68K

This provider vs. median0.2×

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	375	$8K
2019	114	$2K
2020	28	$520.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
82803		82%	450	365	$8K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	26	26	$2K
36600		3.2%	41	12	$325.94

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 officialROSADO-TOLEDO, HECTOR (PRESIDENT)