Physician
Bayamon Pediatric Pulmonary Services
Bayamon Pediatric Pulmonary Services was paid $557K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoBAYAMON PEDIATRIC PULMONARY SERVICES
BAYAMON, PR 00959
BAYAMON, PR 00959
33aNPI1912928573assigned 07/21/2006
33bProvider typePediatric Pulmonology Physician
28Total paid$557K
24GClaims10,040
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Pulmonology Physician providers in Puerto Rico
Rank by total paid#1 of 12
Median peer was paid$23K
This provider vs. median24×
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 | 2,005 | $63K | |
| 2019 | 1,582 | $67K | |
| 2020 | 1,027 | $54K | |
| 2021 | 976 | $62K | |
| 2022 | 964 | $59K | |
| 2023 | 1,161 | $81K | |
| 2024incomplete | 2,325 | $172K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 3,891 | 3,319 | $234K |
| 94375 | 36% | 2,940 | 2,619 | $198K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 865 | 694 | $77K |
| 99243 | 5.8% | 843 | 803 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 129 | 127 | $8K |
| 94760 | 1.3% | 1,314 | 1,147 | $7K | |
| 99442 | <1% | 58 | 48 | $888.00 |
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 officialMERCADO, ALEJANDRO (PRESIDENT)