Caribbean Obgyn Institute, PSC

Caribbean Obgyn Institute, PSC was paid $200K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.

33Billing provider infoCARIBBEAN OBGYN INSTITUTE, PSC
CAGUAS, PR 00725

33aNPI1942656129assigned 05/06/2016

33bProvider typeObstetrics & Gynecology Physician

28Total paid$200K

24GClaims4,427

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Puerto Rico

Rank by total paid#37 of 185

Median peer was paid$53K

This provider vs. median3.7×

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	422	$9K
2019	736	$24K
2020	480	$15K
2021	605	$28K
2022	663	$32K
2023	613	$33K
2024incomplete	908	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	66%	2,659	2,054	$132K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	21%	818	735	$42K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	13%	923	861	$25K
99442		<1%	14	13	$315.28
88142		<1%	13	13	$233.40

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 officialPONTON NIGAGLIONI, ALMA (PRESIDENT)