Otero, Carmen

Otero, Carmen was paid $2K by Medicaid between Mar 2018 and Oct 2018, across 7 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 59% of everything it billed.

33Billing provider infoOTERO, CARMEN
NAGUABO, PR 00718

33aNPI1841300308assigned 08/30/2006

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims375

24DCodes billed7

24AFirst – last monthMar 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Puerto Rico

Rank by total paid#121 of 194

Median peer was paid$7K

This provider vs. median0.4×

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	375	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90472	Immunization administration, each additional vaccine (list separately)	59%	125	121	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	40%	165	157	$988.50
90696		<1%	12	12	$6.00
90716		0%	27	26	$0.00
90670		0%	12	12	$0.00
90707		0%	14	14	$0.00
90633		0%	20	20	$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.