Clinic
Hospital General De Castaner, INC.
Hospital General De Castaner, INC. was paid $118K by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoHOSPITAL GENERAL DE CASTANER, INC.
ADJUNTAS, PR 00601
ADJUNTAS, PR 00601
33aNPI1023311479assigned 12/07/2010
33bProvider typeUrgent Care Clinic/Center
28Total paid$118K
24GClaims40,044
24DCodes billed62
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Puerto Rico
Rank by total paid#7 of 16
Median peer was paid$72K
This provider vs. median1.6×
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 | 12,275 | $10K | |
| 2019 | 10,677 | $8K | |
| 2020 | 4,797 | $6K | |
| 2021 | 4,882 | $46K | |
| 2022 | 1,942 | $8K | |
| 2023 | 2,401 | $26K | |
| 2024incomplete | 3,070 | $13K |
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 | 32% | 12,975 | 10,872 | $38K |
| 0002A | 10% | 310 | 299 | $12K | |
| 0001A | 9.1% | 321 | 318 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.4% | 1,611 | 1,411 | $10K |
| 90461 | 8.2% | 854 | 782 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 7.4% | 1,178 | 1,002 | $9K |
| 0011A | 6.4% | 188 | 176 | $7K | |
| 0012A | 5.4% | 161 | 159 | $6K | |
| 0004A | 3.1% | 164 | 122 | $4K | |
| 99441 | 2.2% | 1,312 | 1,134 | $3K | |
| 0064A | 1.6% | 100 | 36 | $2K | |
| 99442 | <1% | 871 | 822 | $887.58 |
50 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,432 | $883.92 |
| 91307 | <1% | 43 | $880.00 | |
| 90686 | <1% | 1,397 | $781.88 | |
| 0071A | <1% | 21 | $720.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,446 | $686.84 |
| 0072A | <1% | 22 | $640.00 | |
| 90656 | <1% | 111 | $625.06 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 29 | $492.15 |
| 96127 | <1% | 3,203 | $277.10 | |
| 1220F | <1% | 2,975 | $1.00 | |
| 91306 | <1% | 100 | $0.25 | |
| 91300 | 0% | 886 | $0.00 | |
| 90707 | 0% | 27 | $0.00 | |
| 3078F | 0% | 301 | $0.00 | |
| 3077F | 0% | 43 | $0.00 | |
| 3725F | 0% | 498 | $0.00 | |
| 99173 | 0% | 113 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 223 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 22 | $0.00 |
| 96116 | 0% | 13 | $0.00 | |
| 1159F | 0% | 39 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 1158F | 0% | 39 | $0.00 | |
| 90670 | 0% | 116 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 36 | $0.00 |
| 90734 | 0% | 41 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 16 | $0.00 |
| 90756 | 0% | 16 | $0.00 | |
| 3351F | 0% | 923 | $0.00 | |
| 3014F | 0% | 102 | $0.00 | |
| 90716 | 0% | 53 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 162 | $0.00 |
| 90688 | 0% | 243 | $0.00 | |
| 91301 | 0% | 449 | $0.00 | |
| 3075F | 0% | 28 | $0.00 | |
| 3017F | 0% | 136 | $0.00 | |
| 1126F | 0% | 27 | $0.00 | |
| 1157F | 0% | 39 | $0.00 | |
| 3079F | 0% | 52 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 129 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 56 | $0.00 |
| 90651 | 0% | 117 | $0.00 | |
| 3074F | 0% | 129 | $0.00 | |
| 4010F | 0% | 27 | $0.00 | |
| 93000 | 0% | 14 | $0.00 | |
| 3061F | 0% | 14 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 1170F | 0% | 13 | $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 officialMONROIG, DOMINGO (EXECUTIVE DIRECTOR)
Parent organizationHOSPITAL GENERAL DE CASTANER, INC.
| Provider | Location | Paid |
|---|---|---|
| Hospital General De Castaner INC | Castaner, PR | $607K |
| Hospital General De Castaner INC | Castaner, PR | $211K |
| Hospital General De Castaner INC | Castaner, PR | $150K |
| Hospital General De Castaner INC. | Castaner, PR | $131K |
| Hospital General De Castaner INC | Castaner, PR | $16K |
| Hospital General De Castaner INC. | Jayuya, PR | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.