Caremark Puerto Rico Specialty

Caremark Puerto Rico Specialty was paid $1.77M by Medicaid between Apr 2018 and Nov 2024, across 3 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 100% of everything it billed.

33Billing provider infoCAREMARK PUERTO RICO SPECIALTY
CAROLINA, PR 00982

33aNPI1053585257assigned 04/17/2008

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$1.77M

24GClaims1,286

24DCodes billed3

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Puerto Rico

Rank by total paid#13 of 32

Median peer was paid$500K

This provider vs. median3.5×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code J0178 with only 3 total codes billed. Highly concentrated billing profile.

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	100	$183.77
2019	242	$463.60
2024incomplete	944	$1.77M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	100%	944	327	$1.77M
J7507	Tacrolimus, immediate release, oral, 1 mg	<1%	33	24	$616.97
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	<1%	309	118	$30.40

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 officialMARKOS, MARIA (PRESIDENT)