Phalanx Orthopedic Real Estate

Phalanx Orthopedic Real Estate was paid $6K by Medicaid between Mar 2019 and Sep 2019, across 3 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 91% of everything it billed.

33Billing provider infoPHALANX ORTHOPEDIC REAL ESTATE
SANTURCE, PR 00907

33aNPI1942472121assigned 03/28/2008

33bProvider typeClinic/Center

28Total paid$6K

24GClaims198

24DCodes billed3

24AFirst – last monthMar 2019 – Sep 2019

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#82 of 117

Median peer was paid$38K

This provider vs. median0.2×

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
2019	198	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	91%	172	143	$5K
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	5.0%	14	14	$286.72
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	12	12	$225.28

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 officialMARRERO-ORTIZ, PABLO (PRESIDENT)