Clinic
Gold Star Medical LLC
Gold Star Medical LLC was paid $30K by Medicaid between Sep 2023 and May 2024, across 3 billing codes. Its largest line is 99051, — 98% of everything it billed.
33Billing provider infoGOLD STAR MEDICAL LLC
HORMIGUEROS, PR 00660
HORMIGUEROS, PR 00660
33aNPI1073289922assigned 08/20/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$30K
24GClaims776
24DCodes billed3
24AFirst – last monthSep 2023 – May 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#25 of 65
Median peer was paid$9K
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.
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 | |
|---|---|---|---|
| 2023 | 542 | $13K | |
| 2024incomplete | 234 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 98% | 418 | 399 | $29K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 317 | 292 | $455.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 41 | 38 | $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 officialCHAUDHARY, SHAHID (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Tigris Nephrology PLLC | Missoula, MT | $86K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.