Clinic
Metro Pavia Healthcare Centers INC
Metro Pavia Healthcare Centers INC was paid $122K by Medicaid between Jan 2018 and Aug 2024, across 41 billing codes. Its largest line is 99051, — 59% of everything it billed.
33Billing provider infoMETRO PAVIA HEALTHCARE CENTERS INC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1104166750assigned 02/19/2013
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$122K
24GClaims6,213
24DCodes billed41
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#17 of 53
Median peer was paid$44K
This provider vs. median2.8×
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 | 1,831 | $15K | |
| 2019 | 1,273 | $13K | |
| 2020 | 540 | $9K | |
| 2021 | 995 | $8K | |
| 2022 | 567 | $30K | |
| 2023 | 764 | $38K | |
| 2024incomplete | 243 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 59% | 1,133 | 924 | $72K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 7.8% | 843 | 801 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 364 | 359 | $9K |
| 71045 | Radiologic examination, chest; single view | 4.7% | 1,280 | 670 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 213 | 213 | $6K |
| 99201 | 4.1% | 127 | 127 | $5K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.3% | 123 | 65 | $2K |
| 93000 | 1.2% | 236 | 209 | $1K | |
| 77066 | Tomosynthesis, mammo | 1.0% | 24 | 12 | $1K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 211 | 148 | $1K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 146 | 144 | $1K |
| 80053 | Comprehensive metabolic panel | <1% | 84 | 83 | $807.38 |
29 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 81 | $783.60 |
| 80061 | Lipid panel | <1% | 63 | $775.51 |
| 74018 | <1% | 113 | $599.75 | |
| 73620 | <1% | 86 | $554.93 | |
| 73120 | <1% | 85 | $516.32 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 32 | $514.16 |
| 73600 | <1% | 76 | $505.36 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 67 | $436.80 |
| 81001 | <1% | 122 | $374.70 | |
| 73100 | <1% | 47 | $318.17 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 35 | $307.25 |
| 87276 | <1% | 22 | $289.70 | |
| 87275 | <1% | 22 | $289.70 | |
| 72100 | <1% | 88 | $238.96 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 25 | $191.00 |
| 85730 | <1% | 28 | $150.44 | |
| 73560 | <1% | 26 | $130.80 | |
| 72040 | <1% | 17 | $123.24 | |
| 85610 | <1% | 28 | $95.00 | |
| 82043 | <1% | 16 | $91.30 | |
| 82570 | <1% | 13 | $55.44 | |
| 76641 | 0% | 148 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 15 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 16 | $0.00 |
| G0009 | Administration of pneumococcal vaccine | 0% | 14 | $0.00 |
| 76536 | 0% | 26 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 74 | $0.00 |
| A4550 | Surgical trays | 0% | 12 | $0.00 |
| 94664 | 0% | 32 | $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 officialMORALES, ADALIS (BILLING SUPERVISOR)
Parent organizationMETRO PAVIA HEALTHCARE CENTERS INC
| Provider | Location | Paid |
|---|---|---|
| Metro Pavia Healthcare Centers INC | Arecibo, PR | $82K |
| Metro Pavia Healthcare Centers INC | Arecibo, PR | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.