Inspira Behavioral Care Corp.
Inspira Behavioral Care Corp. was paid $705K by Medicaid between Nov 2018 and Oct 2020, across 13 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 40% of everything it billed.
CIDRA, PR 00739
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 243 | $90.00 | |
| 2019 | 12,439 | $348K | |
| 2020 | 11,585 | $357K |
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 | 40% | 9,415 | 8,343 | $279K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 5,671 | 5,082 | $202K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 23% | 5,013 | 4,256 | $159K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.3% | 881 | 806 | $30K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.4% | 2,041 | 1,870 | $24K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.3% | 171 | 160 | $9K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 30 | 28 | $824.50 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 29 | 27 | $551.50 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | 25 | $336.00 |
| 99442 | 0% | 67 | 65 | $0.00 | |
| 98968 | 0% | 74 | 65 | $0.00 | |
| 99441 | 0% | 671 | 645 | $0.00 |
1 more codes
| 98967 | 0% | 179 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Inspira Behavioral Care Corp. | Caguas, PR | $1.70M |
| Inspira Behavioral Care Corp. | Yauco, PR | $1.07M |
| Inspira Behavioral Care Corp. | Humacao, PR | $1.03M |
| Inspira Behavioral Care Corp. | Carolina, PR | $781K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $741K |
| Inspira Behavioral Care Corp. | Coamo, PR | $552K |
| Inspira Behavioral Care Corp. | Guayama, PR | $505K |
| Inspira Behavioral Care Corp. | Rio Grande, PR | $398K |
| Inspira Behavioral Care Corp. | Caguas, PR | $320K |
| Inspira Behavioral Care Corp. | San Juan, PR | $114K |
| Inspira Behavioral Care Corp. | San Juan, PR | $14K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $11K |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $853.00 |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $747.45 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.