Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Kids Pulm PR LLC

Kids Pulm PR LLC was paid $112K by Medicaid between Feb 2024 and Dec 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoKIDS PULM PR LLC
BAYAMON, PR 00959
33aNPI1740964287assigned 06/14/2023
28Total paid$112K
24GClaims1,673
24DCodes billed6
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers

Next to other Pediatric Pulmonology Physician providers in Puerto Rico

Rank by total paid#5 of 12
Median peer was paid$23K
This provider vs. median4.9×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete1,673$112K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39% 585 340 $44K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 36% 316 189 $41K
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 11% 122 86 $12K
94664 7.4% 598 362 $8K
99205 Prolong outpt/office vis 4.2% 28 14 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.9% 24 13 $2K

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 officialMIRANDA TORRES, CAROLINA (PRESIDENT)