Physician
Ponce Advance Medical Group
Ponce Advance Medical Group was paid $465K by Medicaid between Jan 2018 and Dec 2024, across 112 billing codes. Its largest line is 99050, — 51% of everything it billed.
33Billing provider infoPONCE ADVANCE MEDICAL GROUP
PONCE, PR 00717
PONCE, PR 00717
33aNPI1104049121assigned 04/10/2007
33bProvider typeFamily Medicine Physician
28Total paid$465K
24GClaims431,783
24DCodes billed112
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#5 of 160
Median peer was paid$1K
This provider vs. median409×
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 | 10,551 | $21K | |
| 2019 | 29,066 | $93K | |
| 2020 | 38,279 | $57K | |
| 2021 | 74,011 | $138K | |
| 2022 | 65,275 | $46K | |
| 2023 | 106,408 | $62K | |
| 2024incomplete | 108,193 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99050 | 51% | 36,148 | 30,453 | $235K | |
| 96160 | 35% | 8,725 | 8,023 | $162K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 63,157 | 51,793 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 16,633 | 13,910 | $14K |
| 0002A | 1.3% | 154 | 136 | $6K | |
| 0001A | 1.2% | 148 | 142 | $5K | |
| 99335 | 1.1% | 881 | 820 | $5K | |
| 0003A | <1% | 131 | 131 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 591 | 289 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 336 | 114 | $1K |
| 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 | <1% | 999 | 933 | $1K |
| 99441 | <1% | 5,490 | 4,791 | $665.34 |
100 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 160 | $640.00 |
| 0072A | <1% | 16 | $640.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 333 | $610.35 |
| 99368 | <1% | 400 | $600.00 | |
| 0013A | <1% | 36 | $560.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,579 | $351.87 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 6,513 | $329.32 |
| 99442 | <1% | 2,689 | $319.21 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 10,473 | $287.23 |
| 96127 | <1% | 15,644 | $284.29 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 876 | $251.54 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 721 | $143.35 |
| 90651 | <1% | 141 | $141.00 | |
| 90633 | <1% | 128 | $128.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 55 | $117.30 |
| 99386 | <1% | 3,010 | $109.25 | |
| 99443 | <1% | 2,178 | $60.00 | |
| 90734 | <1% | 42 | $42.00 | |
| 99385 | <1% | 1,285 | $28.08 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,213 | $26.46 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,389 | $23.69 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,724 | $23.69 |
| 80061 | Lipid panel | <1% | 14 | $11.57 |
| 99173 | <1% | 4,923 | $6.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 558 | $5.00 |
| 85018 | <1% | 200 | $4.10 | |
| 83655 | <1% | 384 | $3.00 | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 1,002 | $2.00 |
| 99408 | 0% | 871 | $0.00 | |
| 1160F | 0% | 21,447 | $0.00 | |
| 3078F | 0% | 30,780 | $0.00 | |
| 1158F | 0% | 11,152 | $0.00 | |
| 0521F | 0% | 3,208 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 275 | $0.00 |
| 1159F | 0% | 21,982 | $0.00 | |
| 3725F | 0% | 2,033 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 97 | $0.00 |
| 99401 | 0% | 2,441 | $0.00 | |
| 3077F | 0% | 1,207 | $0.00 | |
| 1090F | 0% | 476 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,283 | $0.00 |
| 4035F | 0% | 1,398 | $0.00 | |
| 99387 | 0% | 71 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 177 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 114 | $0.00 |
| 0518F | 0% | 156 | $0.00 | |
| 99347 | 0% | 821 | $0.00 | |
| 4004F | 0% | 244 | $0.00 | |
| 3050F | 0% | 115 | $0.00 | |
| 4013F | 0% | 101 | $0.00 | |
| 2014F | 0% | 17 | $0.00 | |
| 99348 | 0% | 24 | $0.00 | |
| 1175F | 0% | 25 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 39 | $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% | 97 | $0.00 |
| 1003F | 0% | 57 | $0.00 | |
| 1124F | 0% | 53 | $0.00 | |
| 3015F | 0% | 61 | $0.00 | |
| 99397 | 0% | 21 | $0.00 | |
| 3051F | 0% | 13 | $0.00 | |
| 99409 | 0% | 13 | $0.00 | |
| 3008F | 0% | 27,182 | $0.00 | |
| 1157F | 0% | 10,193 | $0.00 | |
| 1170F | 0% | 21,016 | $0.00 | |
| 3061F | 0% | 168 | $0.00 | |
| 3074F | 0% | 36,255 | $0.00 | |
| 1126F | 0% | 14,792 | $0.00 | |
| 2000F | 0% | 3,974 | $0.00 | |
| 2010F | 0% | 626 | $0.00 | |
| 3075F | 0% | 1,400 | $0.00 | |
| 3048F | 0% | 911 | $0.00 | |
| 1125F | 0% | 6,001 | $0.00 | |
| 3014F | 0% | 291 | $0.00 | |
| 3079F | 0% | 6,041 | $0.00 | |
| 1101F | 0% | 220 | $0.00 | |
| 3080F | 0% | 471 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 297 | $0.00 |
| 1036F | 0% | 577 | $0.00 | |
| 3017F | 0% | 1,173 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 613 | $0.00 |
| 2001F | 0% | 1,463 | $0.00 | |
| 3049F | 0% | 322 | $0.00 | |
| 1030F | 0% | 1,135 | $0.00 | |
| 96112 | 0% | 53 | $0.00 | |
| 3351F | 0% | 27 | $0.00 | |
| 99402 | 0% | 296 | $0.00 | |
| 4010F | 0% | 76 | $0.00 | |
| 99383 | 0% | 146 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 127 | $0.00 |
| 3044F | 0% | 336 | $0.00 | |
| 1022F | 0% | 163 | $0.00 | |
| 3066F | 0% | 89 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 26 | $0.00 |
| 0509F | 0% | 156 | $0.00 | |
| 99384 | 0% | 107 | $0.00 | |
| 4480F | 0% | 14 | $0.00 | |
| 1111F | 0% | 28 | $0.00 | |
| 3011F | 0% | 31 | $0.00 | |
| 99406 | 0% | 21 | $0.00 | |
| 96150 | 0% | 18 | $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 officialJIMENEZ RIVERA, RICARDO (DIRECTOR EJECUTIVO)
| Provider | Location | Paid |
|---|---|---|
| Ponce Advance Medical Group | Ponce, PUERTO RICO | $166K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.