Centro Neumologico Del Este CSP

Centro Neumologico Del Este CSP was paid $113K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.

33Billing provider infoCENTRO NEUMOLOGICO DEL ESTE CSP
FAJARDO, PR 00738

33aNPI1851495220assigned 09/07/2006

33bProvider typePulmonary Disease Physician

28Total paid$113K

24GClaims1,640

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pulmonary Disease Physician providers in Puerto Rico

Rank by total paid#23 of 55

Median peer was paid$68K

This provider vs. median1.7×

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	108	$5K
2019	26	$355.00
2021	323	$20K
2022	577	$43K
2023	457	$32K
2024incomplete	149	$13K

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	64%	1,162	950	$72K
94727		16%	75	75	$18K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	230	220	$18K
94729		2.8%	77	76	$3K
94010		2.1%	96	95	$2K

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 officialFERRER, DIMAS (PRESIDENT)