Physician
Caribbean Pulmonary Medical Society, C.S.P.
Caribbean Pulmonary Medical Society, C.S.P. was paid $831K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCARIBBEAN PULMONARY MEDICAL SOCIETY, C.S.P.
PONCE, PR 00717
PONCE, PR 00717
33aNPI1841329091assigned 03/05/2007
33bProvider typePulmonary Disease Physician
28Total paid$831K
24GClaims20,302
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in Puerto Rico
Rank by total paid#3 of 55
Median peer was paid$68K
This provider vs. median12×
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 | 4,490 | $116K | |
| 2019 | 4,893 | $156K | |
| 2020 | 1,410 | $58K | |
| 2021 | 2,011 | $94K | |
| 2022 | 2,218 | $115K | |
| 2023 | 2,776 | $149K | |
| 2024incomplete | 2,504 | $142K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 7,434 | 6,482 | $335K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 3,910 | 1,126 | $156K |
| 94060 | 12% | 2,382 | 2,057 | $97K | |
| 94726 | 11% | 2,170 | 1,863 | $92K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 7.6% | 2,221 | 1,967 | $63K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 678 | 611 | $31K |
| 94729 | 3.7% | 776 | 667 | $30K | |
| 99253 | <1% | 214 | 194 | $8K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 93 | 78 | $6K |
| 99442 | <1% | 122 | 89 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 212 | 75 | $5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 76 | 65 | $996.78 |
1 more codes
| 94618 | <1% | 14 | $291.86 |
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 officialBELLIDO, HELLITZ (ADMINISTRATOR)