Clinic
PR Integrated Care
PR Integrated Care was paid $22K by Medicaid between Nov 2018 and Oct 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.
33Billing provider infoPR INTEGRATED CARE
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1003225103assigned 08/04/2014
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$22K
24GClaims8,374
24DCodes billed25
24AFirst – last monthNov 2018 – Oct 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#33 of 53
Median peer was paid$44K
This provider vs. median0.5×
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 | 41 | $514.50 | |
| 2019 | 24 | $250.00 | |
| 2021 | 30 | $2K | |
| 2022 | 179 | $4K | |
| 2023 | 5,046 | $6K | |
| 2024incomplete | 3,054 | $10K |
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 | 82% | 720 | 683 | $18K |
| 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 | 16% | 147 | 137 | $4K |
| 96156 | 2.4% | 18 | 18 | $547.26 | |
| 4450F | 0% | 694 | 667 | $0.00 | |
| 4050F | 0% | 706 | 679 | $0.00 | |
| 3079F | 0% | 281 | 271 | $0.00 | |
| 3008F | 0% | 903 | 878 | $0.00 | |
| 1126F | 0% | 571 | 553 | $0.00 | |
| 1125F | 0% | 130 | 128 | $0.00 | |
| 3074F | 0% | 238 | 236 | $0.00 | |
| 1170F | 0% | 109 | 104 | $0.00 | |
| 3075F | 0% | 111 | 107 | $0.00 |
13 more codes
| 3061F | 0% | 175 | $0.00 | |
| 3048F | 0% | 18 | $0.00 | |
| 3044F | 0% | 24 | $0.00 | |
| G0420 | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour | 0% | 285 | $0.00 |
| 1159F | 0% | 882 | $0.00 | |
| 98960 | 0% | 233 | $0.00 | |
| 3078F | 0% | 432 | $0.00 | |
| 1160F | 0% | 881 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 76 | $0.00 |
| 3077F | 0% | 338 | $0.00 | |
| 99497 | 0% | 37 | $0.00 | |
| 99071 | 0% | 291 | $0.00 | |
| 3062F | 0% | 74 | $0.00 |
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 officialOJO, OTEGBOLA (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| Renal Health & Research Management, LLC | Trujillo Alto, PR | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.