Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Primary Medical Group, C.S.P.

Primary Medical Group, C.S.P. was paid $861K by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 16% of everything it billed.

33Billing provider infoPRIMARY MEDICAL GROUP, C.S.P.
PONCE, PR 00733
33aNPI1104216050assigned 01/30/2015
33bProvider typeClinic/Center
28Total paid$861K
24GClaims79,937
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#6 of 117
Median peer was paid$38K
This provider vs. median23×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201818,027$68K
201910,122$36K
20205,451$28K
202116,600$402K
202212,518$203K
202310,576$83K
2024incomplete6,643$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90472 Immunization administration, each additional vaccine (list separately) 16% 9,537 6,831 $139K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15% 18,019 13,122 $129K
0002A 12% 2,812 2,655 $107K
0001A 12% 2,842 2,690 $104K
0004A 7.5% 1,952 1,896 $65K
0012A 5.1% 1,268 1,173 $44K
0013A 5.1% 1,133 1,094 $44K
0011A 4.6% 1,413 1,241 $39K
0071A 3.7% 1,055 843 $32K
0072A 3.6% 789 777 $31K
0003A 3.5% 780 743 $30K
0124A 2.0% 523 459 $17K
36 more codes
90651 1.3% 2,840 $11K
0064A 1.2% 279 $11K
90686 1.2% 4,028 $10K
0134A 1.1% 264 $9K
90734 <1% 2,438 $5K
90670 <1% 2,217 $4K
90715 <1% 1,710 $4K
90713 <1% 3,046 $3K
90716 <1% 1,608 $3K
90700 <1% 4,252 $2K
90688 <1% 2,052 $2K
90656 <1% 333 $2K
90707 <1% 1,395 $2K
90677 <1% 204 $2K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 544 $2K
0074A <1% 88 $2K
90620 <1% 901 $2K
90480 <1% 97 $1K
90633 <1% 1,586 $1K
90461 <1% 359 $1K
90648 <1% 2,482 $774.00
86580 <1% 297 $622.50
91320 <1% 17 $380.25
90621 <1% 374 $282.33
90685 <1% 240 $146.00
90744 <1% 979 $135.46
90680 <1% 817 $124.00
0154A <1% 14 $40.00
91307 0% 393 $0.00
90732 0% 28 $0.00
91301 0% 252 $0.00
90658 0% 484 $0.00
91300 0% 1,109 $0.00
90655 0% 40 $0.00
91312 0% 19 $0.00
90649 0% 28 $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 officialDEL RIO RODRIGUEZ, IRAIDA (PRESIDENT)