BCS Pulmonary Services, PSC

BCS Pulmonary Services, PSC was paid $235K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 35% of everything it billed.

33Billing provider infoBCS PULMONARY SERVICES, PSC
PONCE, PR 00717

33aNPI1841617735assigned 03/28/2014

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$235K

24GClaims6,984

24DCodes billed19

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in Puerto Rico

Rank by total paid#4 of 19

Median peer was paid$57K

This provider vs. median4.1×

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	2,283	$38K
2019	2,109	$50K
2020	865	$30K
2021	468	$25K
2022	464	$48K
2023	628	$41K
2024incomplete	167	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	35%	534	167	$82K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	20%	1,797	548	$46K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	976	922	$36K
99243		7.6%	516	488	$18K
94664		3.7%	839	802	$9K
94727		3.5%	123	115	$8K
99254		3.2%	174	152	$7K
94375		2.7%	339	319	$6K
99442		2.0%	129	109	$5K
94726		1.7%	316	291	$4K
94729		1.6%	328	307	$4K
94750		1.3%	298	280	$3K

7 more codes

99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	70	$2K
94618		<1%	152	$2K
99203	Doctor's office visit, new patient (routine)	<1%	13	$998.97
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	31	$595.39
99242		<1%	14	$436.88
1030F		0%	185	$0.00
4035F		0%	150	$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.

From NPPES

Who's on the registration

Authorized officialBOODOOSINGH CASIANO, DEV (PRESIDENT)