Instituto Del Cancer Y Enfermedades De LA Sangre, CSP

Instituto Del Cancer Y Enfermedades De LA Sangre, CSP was paid $2.77M by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 26% of everything it billed.

33Billing provider infoINSTITUTO DEL CANCER Y ENFERMEDADES DE LA SANGRE, CSP
ARECIBO, PR 00612

33aNPI1891990123assigned 06/18/2007

33bProvider typeHematology & Oncology Physician

28Total paid$2.77M

24GClaims50,835

24DCodes billed20

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#5 of 59

Median peer was paid$110K

This provider vs. median25×

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	10,437	$461K
2019	7,820	$358K
2020	6,851	$394K
2021	8,562	$498K
2022	7,072	$419K
2023	5,675	$364K
2024incomplete	4,418	$275K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q0084	Chemotherapy administration by infusion technique only, per visit	26%	7,690	4,128	$710K
96415		19%	5,358	2,881	$528K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	16%	5,765	3,039	$454K
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	11%	4,599	4,012	$294K
96367		8.9%	5,048	2,508	$247K
96417		6.4%	3,103	1,562	$176K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.5%	3,751	3,353	$153K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.5%	2,376	1,207	$41K
99222	Initial hospital care, per day, moderate complexity	1.4%	600	554	$38K
J0640	Injection, leucovorin calcium, per 50 mg	1.1%	872	337	$31K
J2405	Injection, ondansetron hydrochloride, per 1 mg	1.1%	4,083	1,985	$31K
96523		<1%	1,850	826	$21K

8 more codes

G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	521	$10K
99204	Doctor's office visit, new patient (more involved)	<1%	114	$9K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	186	$9K
J9190	Injection, fluorouracil, 500 mg	<1%	924	$9K
99232	Hospital visit by a doctor, follow-up day	<1%	73	$3K
96366	Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour	<1%	46	$2K
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	2,386	$1K
J1200	Injection, diphenhydramine hcl, up to 50 mg	<1%	1,490	$762.33

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 officialCASTRO, JUSTINIANO (PRESIDENT)