Metro Toa Baja, INC.
Metro Toa Baja, INC. was paid $209K by Medicaid between Nov 2018 and Aug 2024, across 17 billing codes. Its largest line is S9083, Global fee urgent care centers — 35% of everything it billed.
TOA BAJA, PR 00951
Next to other Emergency Care Clinic/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 | 63 | $870.00 | |
| 2019 | 667 | $14K | |
| 2020 | 565 | $24K | |
| 2021 | 3,623 | $93K | |
| 2022 | 782 | $31K | |
| 2023 | 508 | $29K | |
| 2024incomplete | 232 | $16K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 35% | 1,563 | 1,050 | $73K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 493 | 477 | $24K |
| 0002A | 9.8% | 1,094 | 864 | $21K | |
| 0001A | 9.7% | 1,180 | 934 | $20K | |
| 99051 | 6.7% | 703 | 644 | $14K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 178 | 176 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 242 | 218 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.8% | 160 | 150 | $8K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.5% | 251 | 184 | $7K |
| 99201 | 3.4% | 164 | 158 | $7K | |
| 0004A | 3.4% | 225 | 212 | $7K | |
| 0003A | 1.1% | 64 | 61 | $2K |
5 more codes
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 |
|---|---|---|
| Pediatric Associates, LLC | Bristol, CT | $3.66M |
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $370K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Metro Pavia Healthcare Center | Bayamon, PR | $75K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $66K |
| Metro Toa Baja INC. | Toa Baja, PR | $37K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.