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

Berrios Ob-Gyn, P.S.C.

Berrios Ob-Gyn, P.S.C. was paid $484K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 17% of everything it billed.

33Billing provider infoBERRIOS OB-GYN, P.S.C.
CAGUAS, PR 00725
33aNPI1811241128assigned 11/08/2012
28Total paid$484K
24GClaims8,867
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#11 of 185
Median peer was paid$53K
This provider vs. median9.0×

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

$0$20K$40K$60K2018201920202021202220232024
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
20181,396$53K
20191,364$74K
2020896$42K
20211,302$59K
20221,237$51K
20231,130$55K
2024incomplete1,542$150K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 2,709 2,279 $83K
76830 Ultrasound, transvaginal 14% 841 774 $70K
76818 13% 822 690 $64K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 11% 1,721 1,519 $55K
59510 11% 24 14 $52K
57150 10% 1,216 1,153 $50K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.4% 443 437 $31K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 6.2% 344 249 $30K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 3.7% 371 339 $18K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3.3% 173 151 $16K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1.7% 124 103 $8K
76801 1.2% 49 12 $6K
2 more codes
99213 Doctor's office visit, returning patient (routine) <1% 14 $1K
59025 Fetal non-stress test <1% 16 $79.59

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 officialBERRIOS ECHEVARRIA, HECTOR (PRESIDENT)