Centro De Especialistas Pediatricos
Centro De Especialistas Pediatricos was paid $1.64M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 94375, — 31% of everything it billed.
33Billing provider infoCENTRO DE ESPECIALISTAS PEDIATRICOS
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1851457774assigned 12/28/2006
33bProvider typeSpecialist
28Total paid$1.64M
24GClaims38,587
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#14 of 316
Median peer was paid$26K
This provider vs. median64×
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 | 5,361 | $164K | |
| 2019 | 5,183 | $123K | |
| 2020 | 2,899 | $116K | |
| 2021 | 3,339 | $161K | |
| 2022 | 4,637 | $197K | |
| 2023 | 8,122 | $395K | |
| 2024incomplete | 9,046 | $481K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 94375 | 31% | 9,637 | 8,164 | $515K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 28% | 7,159 | 6,406 | $453K |
| 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 | 17% | 2,932 | 2,149 | $277K |
| 94200 | 9.6% | 9,626 | 8,159 | $157K | |
| 99205 | Prolong outpt/office vis | 5.6% | 1,274 | 1,244 | $92K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.2% | 722 | 526 | $85K |
| 94664 | 2.8% | 4,533 | 4,045 | $46K | |
| 94760 | <1% | 2,680 | 2,349 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 24 | 24 | $779.28 |
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 officialRIVERA, RENATO (PRESIDENT)