Physician
Rodriguez Burgos, Pedro J
Rodriguez Burgos, Pedro J was paid $7K by Medicaid between Jan 2018 and Dec 2023, across 25 billing codes. Its largest line is 99441, — 69% of everything it billed.
33Billing provider infoRODRIGUEZ BURGOS, PEDRO J
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1740217215assigned 06/28/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims27,620
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#97 of 194
Median peer was paid$7K
This provider vs. median1.0×
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 | 1,807 | $730.01 | |
| 2019 | 4,364 | $10.01 | |
| 2020 | 3,630 | $0.00 | |
| 2021 | 4,433 | $556.99 | |
| 2022 | 4,566 | $4K | |
| 2023 | 8,820 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 69% | 195 | 154 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 8,717 | 7,148 | $2K |
| 99401 | 3.4% | 5,631 | 4,713 | $233.78 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 393 | 355 | $90.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,002 | 922 | $55.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,806 | 2,489 | $30.00 |
| 86580 | <1% | 288 | 288 | $30.00 | |
| 80061 | Lipid panel | <1% | 1,445 | 1,285 | $30.00 |
| 96127 | <1% | 771 | 664 | $23.24 | |
| 81000 | <1% | 1,420 | 1,248 | $20.92 | |
| 92551 | <1% | 414 | 409 | $20.00 | |
| 96160 | <1% | 2,121 | 1,903 | $12.83 |
13 more codes
| 83655 | <1% | 168 | $5.00 | |
| 99173 | <1% | 708 | $1.60 | |
| 99177 | <1% | 219 | $0.02 | |
| 96156 | 0% | 149 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 151 | $0.00 |
| 96150 | 0% | 152 | $0.00 | |
| 99174 | 0% | 13 | $0.00 | |
| 92558 | 0% | 16 | $0.00 | |
| 86701 | 0% | 48 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 582 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 73 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 58 | $0.00 |
| 99408 | 0% | 80 | $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.