Hospital San Carlos Incorporado

Hospital San Carlos Incorporado was paid $234K by Medicaid between Jun 2019 and Dec 2024, across 8 billing codes. Its largest line is 99283, emergency room visit (moderate) — 63% of everything it billed.

33Billing provider infoHOSPITAL SAN CARLOS INCORPORADO
MOCA, PR 00676

33aNPI1104856889assigned 07/05/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$234K

24GClaims8,651

24DCodes billed8

24AFirst – last monthJun 2019 – Dec 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in Puerto Rico

Rank by total paid#67 of 174

Median peer was paid$109K

This provider vs. median2.1×

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
2019	572	$2K
2020	954	$12K
2021	963	$21K
2022	823	$31K
2023	2,649	$93K
2024incomplete	2,690	$74K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	63%	3,368	2,460	$148K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	12%	315	185	$29K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	11%	3,132	1,837	$26K
99282	Emergency department visit for the evaluation and management, low to moderate severity	9.1%	1,232	1,036	$21K
99281	Emergency department visit for the evaluation and management, self-limited or minor	2.2%	405	392	$5K
99070		1.1%	100	95	$3K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	<1%	14	13	$2K
93000		<1%	85	83	$863.82

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 officialVILLANUEVA, SARAH (EXECUTIVE DIRECTOR)