Managed care
Grupo Medico De Cayey
Grupo Medico De Cayey was paid $26K by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 51% of everything it billed.
33Billing provider infoGRUPO MEDICO DE CAYEY
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1104034826assigned 05/18/2007
33bProvider typePoint of Service
28Total paid$26K
24GClaims235,890
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in Puerto Rico
Rank by total paid#7 of 12
Median peer was paid$26K
This provider vs. median1.0×
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 | 16,715 | $165.49 | |
| 2019 | 26,743 | $362.94 | |
| 2020 | 16,669 | $3K | |
| 2021 | 59,555 | $15K | |
| 2022 | 46,330 | $7K | |
| 2023 | 48,654 | $0.00 | |
| 2024incomplete | 21,224 | $40.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 51% | 70,755 | 40,070 | $14K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 40% | 803 | 561 | $10K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 5.5% | 390 | 357 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.5% | 859 | 434 | $651.12 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,911 | 911 | $94.79 |
| 99442 | <1% | 5,364 | 2,331 | $89.47 | |
| 96160 | <1% | 1,290 | 795 | $40.00 | |
| 99443 | <1% | 5,764 | 2,524 | $22.21 | |
| 99386 | <1% | 179 | 70 | $0.01 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,245 | 1,863 | $0.01 |
| 99051 | <1% | 658 | 303 | $0.01 | |
| 1170F | 0% | 4,537 | 2,569 | $0.00 |
67 more codes
| 3008F | 0% | 13,162 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 2,411 | $0.00 |
| 3074F | 0% | 8,261 | $0.00 | |
| 99441 | 0% | 21,075 | $0.00 | |
| 3044F | 0% | 1,000 | $0.00 | |
| 96161 | 0% | 726 | $0.00 | |
| 86701 | 0% | 64 | $0.00 | |
| 3079F | 0% | 1,194 | $0.00 | |
| 3017F | 0% | 247 | $0.00 | |
| 99384 | 0% | 14 | $0.00 | |
| 92551 | 0% | 884 | $0.00 | |
| 99402 | 0% | 461 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,203 | $0.00 |
| 1157F | 0% | 1,893 | $0.00 | |
| 1126F | 0% | 1,956 | $0.00 | |
| 99385 | 0% | 86 | $0.00 | |
| 3048F | 0% | 1,532 | $0.00 | |
| 3049F | 0% | 212 | $0.00 | |
| 96127 | 0% | 3,599 | $0.00 | |
| 3061F | 0% | 518 | $0.00 | |
| 2010F | 0% | 108 | $0.00 | |
| 94760 | 0% | 124 | $0.00 | |
| 1125F | 0% | 1,808 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 24 | $0.00 |
| 99403 | 0% | 781 | $0.00 | |
| 3080F | 0% | 260 | $0.00 | |
| 3075F | 0% | 363 | $0.00 | |
| 2001F | 0% | 105 | $0.00 | |
| 2000F | 0% | 248 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 37 | $0.00 |
| 99174 | 0% | 242 | $0.00 | |
| 99050 | 0% | 42 | $0.00 | |
| 96150 | 0% | 147 | $0.00 | |
| 1111F | 0% | 63 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 13 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 16,822 | $0.00 |
| 99401 | 0% | 1,871 | $0.00 | |
| 3078F | 0% | 8,074 | $0.00 | |
| 1160F | 0% | 12,984 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 2,520 | $0.00 |
| 99382 | 0% | 68 | $0.00 | |
| 3725F | 0% | 451 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,153 | $0.00 |
| 3077F | 0% | 1,694 | $0.00 | |
| 99411 | 0% | 671 | $0.00 | |
| 1159F | 0% | 12,869 | $0.00 | |
| 1158F | 0% | 4,214 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 3,055 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,783 | $0.00 |
| 80061 | Lipid panel | 0% | 242 | $0.00 |
| 99173 | 0% | 1,715 | $0.00 | |
| 99408 | 0% | 207 | $0.00 | |
| 99397 | 0% | 44 | $0.00 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | 0% | 482 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 171 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 122 | $0.00 |
| 85014 | 0% | 624 | $0.00 | |
| 99404 | 0% | 207 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,103 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 1,189 | $0.00 |
| 3050F | 0% | 65 | $0.00 | |
| 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 | 0% | 198 | $0.00 |
| 0521F | 0% | 380 | $0.00 | |
| G9968 | Patient was referred to another clinician or specialist during the measurement period | 0% | 247 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| 2028F | 0% | 21 | $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 officialBENGOA, ROBERTO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Centro Medicos Unidos Del Oeste | San Juan, PR | $355K |
| Alianza De Medicos Del Sureste | San Juan, PR | $19K |
| G.M.D.C. INC | San Juan, PR | $690.88 |
| Consorcio Multisalud Del Oeste, INC. | San Juan, PR | $0.42 |
| Consorcio Multisalud Del Este, INC. | San Juan, PR | $0.11 |
| Grupo Medico De Orocovis | San Juan, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.