Centro Neumologico Del Oeste

Centro Neumologico Del Oeste was paid $2.24M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 94375, — 39% of everything it billed.

33Billing provider infoCENTRO NEUMOLOGICO DEL OESTE
MAYAGUEZ, PR 00680

33aNPI1760463970assigned 11/07/2005

33bProvider typePulmonary Disease Physician

28Total paid$2.24M

24GClaims41,812

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#2 of 55

Median peer was paid$68K

This provider vs. median33×

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	5,914	$194K
2019	5,088	$195K
2020	5,572	$264K
2021	4,655	$261K
2022	5,779	$311K
2023	6,239	$421K
2024incomplete	8,565	$592K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
94375		39%	14,294	12,611	$874K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	17,420	14,946	$841K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	12%	4,435	4,034	$262K
94726		4.0%	1,662	1,411	$89K
94729		3.4%	1,733	1,474	$76K
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	1.5%	249	190	$33K
99222	Initial hospital care, per day, moderate complexity	<1%	158	154	$15K
99223	Prolong inpt eval add15 m	<1%	79	66	$13K
93000		<1%	619	569	$10K
99254		<1%	179	171	$9K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	425	331	$5K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	104	100	$4K

6 more codes

93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	327	$3K
99214	Doctor's office visit, returning patient (more involved)	<1%	24	$2K
94060		<1%	16	$739.24
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	22	$644.32
99441		<1%	52	$342.35
94010		<1%	14	$291.25

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 officialCARDONA-RAMIREZ, ARMANDO (PARTNER)