Metro Toa Baja INC.
Metro Toa Baja INC. was paid $66K by Medicaid between Feb 2020 and Aug 2023, across 12 billing codes. Its largest line is D1999, — 19% of everything it billed.
33Billing provider infoMETRO TOA BAJA INC.
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1104389840assigned 04/10/2019
33bProvider typeChiropractor
28Total paid$66K
24GClaims2,496
24DCodes billed12
24AFirst – last monthFeb 2020 – Aug 2023
Compared with peers
Next to other Chiropractor providers in Puerto Rico
Rank by total paid#36 of 121
Median peer was paid$27K
This provider vs. median2.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOPEZ, MARIA controls 17+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2020 | 483 | $13K | |
| 2021 | 1,049 | $24K | |
| 2022 | 570 | $11K | |
| 2023 | 394 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 19% | 820 | 747 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 238 | 235 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 167 | 167 | $10K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 188 | 183 | $10K |
| D1110 | Prophylaxis - adult | 13% | 344 | 338 | $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 | 7.1% | 97 | 90 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.6% | 194 | 193 | $4K |
| D0272 | Bitewings - two radiographic images | 4.6% | 220 | 216 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.6% | 117 | 115 | $2K |
| 90656 | <1% | 81 | 81 | $324.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | 13 | $192.79 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 17 | 17 | $145.20 |
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 officialLOPEZ, MARIA (VP OPERACIONAL SENIOR)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates, LLC | Bristol, CT | $3.66M |
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $370K |
| Metro Toa Baja, INC. | Toa Baja, PR | $209K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Metro Pavia Healthcare Center | Bayamon, PR | $75K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $37K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.