Physician
Caribbean Womens Health Institute CSP
Caribbean Womens Health Institute CSP was paid $256K by Medicaid between Feb 2019 and Aug 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCARIBBEAN WOMENS HEALTH INSTITUTE CSP
PONCE, PR 00731
PONCE, PR 00731
33aNPI1730637471assigned 09/12/2016
33bProvider typeObstetrics Physician
28Total paid$256K
24GClaims6,453
24DCodes billed8
24AFirst – last monthFeb 2019 – Aug 2024
Compared with peers
Next to other Obstetrics Physician providers in Puerto Rico
Rank by total paid#4 of 17
Median peer was paid$163K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 543 | $8K | |
| 2020 | 996 | $39K | |
| 2021 | 1,769 | $72K | |
| 2022 | 1,860 | $79K | |
| 2023 | 1,153 | $48K | |
| 2024incomplete | 132 | $9K |
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 | 54% | 2,592 | 2,326 | $137K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 774 | 686 | $46K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 12% | 1,189 | 1,070 | $30K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 8.8% | 869 | 774 | $23K |
| 99070 | 5.7% | 858 | 754 | $15K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 89 | 76 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 67 | 66 | $2K |
| 88142 | <1% | 15 | 15 | $262.65 |
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 officialCORDERO NIEVES, LISANDRA (MD)