Managed care
Asociacion De Medicos Generalistas De Corozal
Asociacion De Medicos Generalistas De Corozal was paid $10K by Medicaid between Jan 2018 and May 2023, across 15 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 98% of everything it billed.
33Billing provider infoASOCIACION DE MEDICOS GENERALISTAS DE COROZAL
COROZAL, PR 00783
COROZAL, PR 00783
33aNPI1043420359assigned 05/23/2007
33bProvider typeHealth Maintenance Organization
28Total paid$10K
24GClaims9,744
24DCodes billed15
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#25 of 37
Median peer was paid$25K
This provider vs. median0.4×
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 | 3,855 | $7K | |
| 2019 | 399 | $2K | |
| 2020 | 1,586 | $620.00 | |
| 2021 | 1,568 | $0.00 | |
| 2022 | 1,885 | $0.00 | |
| 2023 | 451 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 98% | 8,101 | 3,433 | $9K |
| 90656 | 1.1% | 291 | 276 | $108.00 | |
| 90474 | <1% | 14 | 14 | $56.00 | |
| 90633 | 0% | 85 | 85 | $0.00 | |
| 90670 | 0% | 108 | 108 | $0.00 | |
| 90734 | 0% | 92 | 85 | $0.00 | |
| 90700 | 0% | 211 | 209 | $0.00 | |
| 90713 | 0% | 158 | 157 | $0.00 | |
| 90649 | 0% | 229 | 218 | $0.00 | |
| 90715 | 0% | 57 | 51 | $0.00 | |
| 90707 | 0% | 107 | 107 | $0.00 | |
| 90681 | 0% | 14 | 14 | $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 officialORITZ CALDERO, MIGUEL (ADMINISTRADOR)