Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Rio Grande › NPI 1780653121
Physician

Caparra Cardiology and Electrophisiology Center PSC

Caparra Cardiology and Electrophisiology Center PSC was paid $65K by Medicaid between Apr 2018 and Nov 2024, across 10 billing codes. Its largest line is 78452, Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress — 31% of everything it billed.

33Billing provider infoCAPARRA CARDIOLOGY AND ELECTROPHISIOLOGY CENTER PSC
RIO GRANDE, PR 00745
33aNPI1780653121assigned 03/17/2006
28Total paid$65K
24GClaims1,341
24DCodes billed10
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Nuclear Medicine Physician providers in Puerto Rico

Rank by total paid#7 of 9
Median peer was paid$246K
This provider vs. median0.3×

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$5.0K$10K2018201920202021202220232024
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
2018121$4K
2019198$6K
2020228$20K
2021103$4K
2022195$15K
2023325$12K
2024incomplete171$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 31% 54 53 $20K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 21% 91 90 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 251 228 $11K
93000 16% 590 476 $11K
93015 8.5% 54 53 $6K
99243 3.0% 47 40 $2K
99442 2.3% 77 68 $1K
99441 1.2% 38 27 $800.28
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 81 70 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 58 46 $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 officialRUIZ, DENIS (PRESIDENT)