Southeast Renal Group PSC

Southeast Renal Group PSC was paid $143K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 86% of everything it billed.

33Billing provider infoSOUTHEAST RENAL GROUP PSC
SANTA ISABEL, PR 00757

33aNPI1821413527assigned 03/04/2014

33bProvider typeGeneral Practice Physician

28Total paid$143K

24GClaims798

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#146 of 1,195

Median peer was paid$2K

This provider vs. median70×

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	140	$13K
2019	157	$21K
2020	232	$46K
2021	12	$2K
2022	54	$2K
2023	12	$3K
2024incomplete	191	$55K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90960	End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits	86%	542	447	$122K
90961		13%	166	161	$18K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	<1%	27	13	$1K
96361	Intravenous infusion, hydration; each additional hour	<1%	27	13	$765.76
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%	36	35	$159.96

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 officialORTIZ HEREDIA, LUIS (PRESIDENT)

Same official

Other billing entities under ORTIZ HEREDIA, LUIS

Full network →

Provider	Location	Paid
South Renal Care, P.S.C	Ponce, PR	$670K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.