Pci Group LLC

Pci Group LLC was paid $9.54M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 93458, — 34% of everything it billed.

33Billing provider infoPCI GROUP LLC
MANATI, PR 00674

33aNPI1891100855assigned 06/27/2014

33bProvider typeInterventional Cardiology Physician

28Total paid$9.54M

24GClaims90,085

24DCodes billed23

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Interventional Cardiology Physician providers in Puerto Rico

Rank by total paid#1 of 22

Median peer was paid$69K

This provider vs. median139×

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	6,133	$478K
2019	8,735	$1.00M
2020	10,750	$1.12M
2021	12,614	$1.35M
2022	14,434	$1.58M
2023	17,774	$1.98M
2024incomplete	19,645	$2.03M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93458		34%	2,766	2,538	$3.22M
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	23%	9,062	8,059	$2.22M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	23,163	20,268	$1.15M
93224		6.8%	5,511	4,929	$652K
93015		6.6%	5,116	4,632	$627K
93000		5.3%	28,587	25,000	$503K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.5%	5,870	5,218	$430K
93880		3.1%	2,121	1,738	$300K
92928		1.8%	162	135	$169K
99222	Initial hospital care, per day, moderate complexity	1.1%	1,122	1,031	$103K
99243		<1%	1,335	1,293	$51K
99253		<1%	985	887	$35K

11 more codes

99152		<1%	1,041	$33K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	2,566	$26K
99214	Doctor's office visit, returning patient (more involved)	<1%	185	$16K
99232	Hospital visit by a doctor, follow-up day	<1%	170	$5K
93356		<1%	164	$2K
93970		<1%	12	$1K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	32	$960.45
99442		<1%	60	$956.40
99221		<1%	13	$947.18
99254		<1%	23	$805.00
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	19	$380.00

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 officialDEL RIO SANTIAGO, VALENTIN (PRESIDENT)