Clinic
Grupo Medico De Cidra, INC.
Grupo Medico De Cidra, INC. was paid $11K by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 34% of everything it billed.
33Billing provider infoGRUPO MEDICO DE CIDRA, INC.
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1013048248assigned 03/08/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$11K
24GClaims177,930
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#13 of 20
Median peer was paid$15K
This provider vs. median0.8×
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 | 21,221 | $119.50 | |
| 2019 | 26,521 | $0.05 | |
| 2020 | 18,530 | $634.93 | |
| 2021 | 27,218 | $1K | |
| 2022 | 26,412 | $1K | |
| 2023 | 24,461 | $5K | |
| 2024incomplete | 33,567 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 34% | 42,050 | 32,839 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 53,353 | 41,053 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 17% | 5,344 | 4,064 | $2K |
| 96160 | 10% | 463 | 363 | $1K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 2.9% | 1,147 | 997 | $328.20 |
| 99441 | 2.4% | 7,779 | 6,607 | $271.88 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 483 | 472 | $59.46 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 6,435 | 5,256 | $20.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,014 | 919 | $15.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 320 | 281 | $13.00 |
| 1159F | <1% | 5,957 | 4,743 | $0.02 | |
| 3008F | <1% | 12,418 | 10,286 | $0.02 |
52 more codes
| 1160F | <1% | 5,756 | $0.01 | |
| 3078F | 0% | 5,916 | $0.00 | |
| 3077F | 0% | 2,349 | $0.00 | |
| 3725F | 0% | 3,592 | $0.00 | |
| 1158F | 0% | 3,011 | $0.00 | |
| 99397 | 0% | 709 | $0.00 | |
| 99334 | 0% | 39 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 27 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 261 | $0.00 |
| 0518F | 0% | 160 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 131 | $0.00 |
| 99347 | 0% | 89 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| 2028F | 0% | 38 | $0.00 | |
| 99442 | 0% | 144 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 60 | $0.00 |
| 3015F | 0% | 17 | $0.00 | |
| 99401 | 0% | 14 | $0.00 | |
| 3080F | 0% | 1,007 | $0.00 | |
| 3079F | 0% | 2,149 | $0.00 | |
| 3074F | 0% | 5,001 | $0.00 | |
| 3075F | 0% | 1,466 | $0.00 | |
| 99050 | 0% | 1,313 | $0.00 | |
| 1170F | 0% | 3,439 | $0.00 | |
| 3017F | 0% | 650 | $0.00 | |
| 1125F | 0% | 517 | $0.00 | |
| 3353F | 0% | 95 | $0.00 | |
| 3014F | 0% | 195 | $0.00 | |
| 1126F | 0% | 1,069 | $0.00 | |
| 99385 | 0% | 27 | $0.00 | |
| 3044F | 0% | 298 | $0.00 | |
| 3048F | 0% | 267 | $0.00 | |
| 3351F | 0% | 194 | $0.00 | |
| 3049F | 0% | 91 | $0.00 | |
| 2001F | 0% | 18 | $0.00 | |
| 96150 | 0% | 227 | $0.00 | |
| 3011F | 0% | 53 | $0.00 | |
| 86580 | 0% | 266 | $0.00 | |
| 99335 | 0% | 15 | $0.00 | |
| 99443 | 0% | 13 | $0.00 | |
| 1157F | 0% | 181 | $0.00 | |
| 99383 | 0% | 23 | $0.00 | |
| 96127 | 0% | 65 | $0.00 | |
| 86850 | 0% | 43 | $0.00 | |
| 2000F | 0% | 20 | $0.00 | |
| 4010F | 0% | 12 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 12 | $0.00 |
| 3061F | 0% | 49 | $0.00 | |
| 99386 | 0% | 15 | $0.00 | |
| 96156 | 0% | 21 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 16 | $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 officialFERNANDEZ, ALBERTO (VICE PRESIDENT)