RC Nephrology and Hypertension PSC

RC Nephrology and Hypertension PSC was paid $77K by Medicaid between Jan 2018 and Jan 2021, across 8 billing codes. Its largest line is 90962, — 52% of everything it billed.

33Billing provider infoRC NEPHROLOGY AND HYPERTENSION PSC
GURABO, PR 00778

33aNPI1841604329assigned 06/12/2014

33bProvider typeNephrology Physician

28Total paid$77K

24GClaims1,335

24DCodes billed8

24AFirst – last monthJan 2018 – Jan 2021

Compared with peers

Next to other Nephrology Physician providers in Puerto Rico

Rank by total paid#37 of 81

Median peer was paid$66K

This provider vs. median1.2×

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	226	$13K
2019	727	$37K
2020	362	$27K
2021	20	$310.28

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90962		52%	506	432	$40K
90961		21%	153	135	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	482	414	$12K
99254		4.3%	66	56	$3K
99243		2.9%	46	46	$2K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.1%	24	13	$2K
99442		1.2%	38	30	$948.67
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%	20	12	$310.28

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 officialCALDERON ORTIZ, RICARDO (PRESIDENT)