Grupo Oncologico Comunitario De San Juan PSC Medicos

Grupo Oncologico Comunitario De San Juan PSC Medicos was paid $64K by Medicaid between Mar 2018 and Jul 2022, across 7 billing codes. Its largest line is Q0084, Chemotherapy administration by infusion technique only, per visit — 40% of everything it billed.

33Billing provider infoGRUPO ONCOLOGICO COMUNITARIO DE SAN JUAN PSC MEDICOS
SAN JUAN, PR 00917

33aNPI1982654513assigned 05/12/2006

33bProvider typeHematology & Oncology Physician

28Total paid$64K

24GClaims1,791

24DCodes billed7

24AFirst – last monthMar 2018 – Jul 2022

Compared with peers

Next to other Hematology & Oncology Physician providers in Puerto Rico

Rank by total paid#35 of 59

Median peer was paid$110K

This provider vs. median0.6×

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	198	$5K
2019	570	$12K
2020	693	$21K
2021	315	$25K
2022	15	$376.69

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
Q0084	Chemotherapy administration by infusion technique only, per visit	40%	290	185	$26K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	37%	627	237	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	670	568	$12K
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	2.2%	67	57	$1K
96415		1.7%	98	24	$1K
96523		<1%	19	12	$71.45
99441		<1%	20	12	$21.00

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 officialBAEZ DIAZ, LUIS (PRESIDENT)