Managed care
De Medicos Primarios, Corp.
De Medicos Primarios, Corp. was paid $73K by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 37% of everything it billed.
33Billing provider infoDE MEDICOS PRIMARIOS, CORP.
SANTA ISABEL, PR 00757
SANTA ISABEL, PR 00757
33aNPI1093926834assigned 05/24/2007
33bProvider typeHealth Maintenance Organization
28Total paid$73K
24GClaims129,992
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#12 of 37
Median peer was paid$25K
This provider vs. median2.9×
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 | 17,481 | $8K | |
| 2019 | 26,423 | $17K | |
| 2020 | 17,832 | $13K | |
| 2021 | 16,812 | $17K | |
| 2022 | 14,395 | $9K | |
| 2023 | 21,844 | $8K | |
| 2024incomplete | 15,205 | $533.86 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 37% | 1,994 | 1,720 | $27K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 32% | 3,934 | 3,218 | $23K |
| 96160 | 13% | 2,191 | 2,059 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 43,730 | 33,040 | $9K |
| 99442 | 2.1% | 4,299 | 3,164 | $2K | |
| 99441 | 2.1% | 26,585 | 21,320 | $2K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 70 | 70 | $490.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 406 | 384 | $295.90 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,164 | 2,117 | $194.50 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 357 | 338 | $158.76 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 193 | 167 | $95.90 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,691 | 3,547 | $45.50 |
52 more codes
| 96127 | <1% | 3,947 | $30.08 | |
| 99397 | <1% | 240 | $11.50 | |
| 96150 | <1% | 3,449 | $6.50 | |
| 99401 | <1% | 58 | $2.00 | |
| 86580 | <1% | 12 | $1.00 | |
| 90656 | <1% | 1,108 | $0.01 | |
| 3078F | 0% | 9,878 | $0.00 | |
| 1160F | 0% | 1,405 | $0.00 | |
| 90648 | 0% | 317 | $0.00 | |
| 90670 | 0% | 308 | $0.00 | |
| 99173 | 0% | 146 | $0.00 | |
| 1159F | 0% | 1,407 | $0.00 | |
| 90700 | 0% | 825 | $0.00 | |
| 90715 | 0% | 76 | $0.00 | |
| 1158F | 0% | 346 | $0.00 | |
| 90734 | 0% | 148 | $0.00 | |
| 90633 | 0% | 58 | $0.00 | |
| 90649 | 0% | 34 | $0.00 | |
| 3077F | 0% | 122 | $0.00 | |
| 3725F | 0% | 937 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 119 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 27 | $0.00 |
| 80061 | Lipid panel | 0% | 128 | $0.00 |
| 90713 | 0% | 365 | $0.00 | |
| 90707 | 0% | 28 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 62 | $0.00 |
| 0521F | 0% | 355 | $0.00 | |
| 99408 | 0% | 21 | $0.00 | |
| 96152 | 0% | 12 | $0.00 | |
| 3074F | 0% | 9,722 | $0.00 | |
| 93000 | 0% | 573 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 1,422 | $0.00 |
| 3061F | 0% | 54 | $0.00 | |
| 3048F | 0% | 138 | $0.00 | |
| 1170F | 0% | 388 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| 1030F | 0% | 342 | $0.00 | |
| 1125F | 0% | 274 | $0.00 | |
| 1157F | 0% | 360 | $0.00 | |
| 3008F | 0% | 396 | $0.00 | |
| 96161 | 0% | 26 | $0.00 | |
| 4010F | 0% | 44 | $0.00 | |
| 3044F | 0% | 64 | $0.00 | |
| 1126F | 0% | 432 | $0.00 | |
| 90716 | 0% | 52 | $0.00 | |
| 3079F | 0% | 24 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 39 | $0.00 |
| 92551 | 0% | 12 | $0.00 | |
| 90650 | 0% | 24 | $0.00 | |
| 90680 | 0% | 13 | $0.00 | |
| 90744 | 0% | 15 | $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 officialPAGAN, ANGEL (PRESIDENT)