Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Pediatrics Management Services

Pediatrics Management Services was paid $1.84M by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 75% of everything it billed.

33Billing provider infoPEDIATRICS MANAGEMENT SERVICES
SAN JUAN, PR 00921
33aNPI1922369867assigned 06/07/2012
28Total paid$1.84M
24GClaims15,987
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Medical Specialty Clinic/Center providers in Puerto Rico

Rank by total paid#3 of 54
Median peer was paid$61K
This provider vs. median30×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
20181,080$106K
20192,102$203K
20201,630$202K
20211,717$200K
20222,378$276K
20233,130$355K
2024incomplete3,950$499K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 75% 5,057 4,577 $1.39M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.8% 3,319 2,867 $181K
99245 5.5% 2,728 2,575 $102K
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% 1,139 943 $84K
93000 3.7% 3,133 2,861 $69K
99255 <1% 358 321 $14K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 253 213 $3K

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 officialVILLAVICENCIO-CAMACHO, RAFAEL (PRESIDENT)