Physician
LDG Medical Services Group, LLC
LDG Medical Services Group, LLC was paid $547K by Medicaid between Nov 2018 and Dec 2024, across 78 billing codes. Its largest line is 96160, — 75% of everything it billed.
33Billing provider infoLDG MEDICAL SERVICES GROUP, LLC
SAN JUAN, PR 00907
SAN JUAN, PR 00907
33aNPI1740782788assigned 03/06/2018
33bProvider typeGeneral Practice Physician
28Total paid$547K
24GClaims324,901
24DCodes billed78
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#36 of 1,195
Median peer was paid$2K
This provider vs. median268×
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 | 83 | $0.00 | |
| 2019 | 24,463 | $53K | |
| 2020 | 29,909 | $85K | |
| 2021 | 36,477 | $77K | |
| 2022 | 63,794 | $88K | |
| 2023 | 92,506 | $143K | |
| 2024incomplete | 77,669 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 75% | 14,160 | 13,738 | $410K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 74,282 | 55,907 | $49K |
| 99050 | 6.0% | 1,072 | 804 | $33K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 3,445 | 3,282 | $16K |
| 99442 | 2.2% | 7,101 | 5,717 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 24,583 | 20,189 | $11K |
| 99334 | 1.3% | 636 | 626 | $7K | |
| 99348 | <1% | 749 | 726 | $4K | |
| 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% | 1,902 | 1,649 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 192 | 168 | $1K |
| 99441 | <1% | 3,418 | 2,691 | $792.04 | |
| 99443 | <1% | 732 | 606 | $315.14 |
66 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 81 | $270.08 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 3,390 | $253.67 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 252 | $236.90 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 259 | $217.04 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 63 | $147.52 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 552 | $77.85 |
| 99408 | <1% | 690 | $57.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,762 | $51.44 |
| 99347 | <1% | 1,592 | $41.10 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 85 | $23.69 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 25 | $20.48 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 38 | $20.00 |
| 99201 | <1% | 138 | $18.00 | |
| 93000 | <1% | 376 | $17.00 | |
| 1160F | 0% | 27,728 | $0.00 | |
| 1159F | 0% | 28,420 | $0.00 | |
| 3078F | 0% | 16,763 | $0.00 | |
| 3725F | 0% | 2,498 | $0.00 | |
| 1158F | 0% | 632 | $0.00 | |
| 4013F | 0% | 2,287 | $0.00 | |
| 3051F | 0% | 98 | $0.00 | |
| 3077F | 0% | 3,525 | $0.00 | |
| 3050F | 0% | 898 | $0.00 | |
| 0521F | 0% | 138 | $0.00 | |
| 3280F | 0% | 505 | $0.00 | |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 32 | $0.00 |
| 85014 | 0% | 93 | $0.00 | |
| 4145F | 0% | 430 | $0.00 | |
| 4035F | 0% | 12 | $0.00 | |
| 2022F | 0% | 32 | $0.00 | |
| 2014F | 0% | 41 | $0.00 | |
| 80061 | Lipid panel | 0% | 13 | $0.00 |
| 3095F | 0% | 13 | $0.00 | |
| 99397 | 0% | 13 | $0.00 | |
| 3342F | 0% | 18 | $0.00 | |
| 1036F | 0% | 185 | $0.00 | |
| 2000F | 0% | 3,705 | $0.00 | |
| 3079F | 0% | 7,150 | $0.00 | |
| 86580 | 0% | 755 | $0.00 | |
| 1157F | 0% | 1,009 | $0.00 | |
| 3061F | 0% | 3,347 | $0.00 | |
| 3080F | 0% | 1,588 | $0.00 | |
| 3044F | 0% | 2,539 | $0.00 | |
| 4010F | 0% | 1,268 | $0.00 | |
| 1126F | 0% | 7,458 | $0.00 | |
| 3008F | 0% | 22,393 | $0.00 | |
| 3017F | 0% | 2,251 | $0.00 | |
| 3049F | 0% | 1,730 | $0.00 | |
| 3011F | 0% | 3,902 | $0.00 | |
| 1170F | 0% | 3,494 | $0.00 | |
| 3075F | 0% | 3,419 | $0.00 | |
| 3048F | 0% | 3,252 | $0.00 | |
| 3074F | 0% | 18,621 | $0.00 | |
| 3014F | 0% | 905 | $0.00 | |
| 1125F | 0% | 6,269 | $0.00 | |
| 3279F | 0% | 574 | $0.00 | |
| 85018 | 0% | 93 | $0.00 | |
| 1111F | 0% | 1,812 | $0.00 | |
| 3060F | 0% | 77 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 242 | $0.00 |
| 3281F | 0% | 12 | $0.00 | |
| 99349 | 0% | 26 | $0.00 | |
| 3341F | 0% | 12 | $0.00 | |
| 96112 | 0% | 24 | $0.00 | |
| 99386 | 0% | 12 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 13 | $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 officialDE GRACIA, WILLIAM (TREASURER)