Behavioral
Access Medical Group Corp
Access Medical Group Corp was paid $254K by Medicaid between Jan 2018 and Oct 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 55% of everything it billed.
33Billing provider infoACCESS MEDICAL GROUP CORP
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1114221884assigned 01/10/2011
33bProvider typePsychologist
28Total paid$254K
24GClaims79,129
24DCodes billed54
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Psychologist providers in Puerto Rico
Rank by total paid#6 of 80
Median peer was paid$3K
This provider vs. median96×
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 | 7,995 | $7K | |
| 2019 | 16,766 | $11K | |
| 2020 | 9,972 | $16K | |
| 2021 | 13,788 | $48K | |
| 2022 | 12,000 | $99K | |
| 2023 | 12,678 | $44K | |
| 2024incomplete | 5,930 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 55% | 33,587 | 27,538 | $138K |
| 96160 | 24% | 3,568 | 3,136 | $61K | |
| 99050 | 6.7% | 615 | 543 | $17K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 654 | 627 | $13K |
| 99442 | 2.2% | 1,687 | 1,395 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 6,176 | 5,324 | $6K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.7% | 311 | 304 | $4K |
| 99441 | <1% | 1,990 | 1,678 | $2K | |
| 97802 | <1% | 252 | 244 | $2K | |
| 96127 | <1% | 653 | 628 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 73 | 73 | $748.50 |
| 97803 | <1% | 62 | 55 | $578.38 |
42 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 382 | $497.49 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 216 | $165.83 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,925 | $60.52 |
| 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 | <1% | 667 | $59.74 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 470 | $20.06 |
| 99173 | <1% | 740 | $0.10 | |
| 92551 | <1% | 714 | $0.10 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 393 | $0.01 |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | <1% | 16 | $0.01 |
| 3725F | 0% | 46 | $0.00 | |
| 3078F | 0% | 6,721 | $0.00 | |
| 1160F | 0% | 439 | $0.00 | |
| 1159F | 0% | 504 | $0.00 | |
| 3077F | 0% | 734 | $0.00 | |
| 1158F | 0% | 153 | $0.00 | |
| 3050F | 0% | 52 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 46 | $0.00 |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 44 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 24 | $0.00 |
| 0521F | 0% | 181 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 18 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 17 | $0.00 |
| 99367 | 0% | 57 | $0.00 | |
| 99401 | 0% | 28 | $0.00 | |
| 99408 | 0% | 15 | $0.00 | |
| 3074F | 0% | 6,965 | $0.00 | |
| 1125F | 0% | 290 | $0.00 | |
| 3048F | 0% | 235 | $0.00 | |
| 3008F | 0% | 2,825 | $0.00 | |
| 3079F | 0% | 1,841 | $0.00 | |
| 1157F | 0% | 143 | $0.00 | |
| 3075F | 0% | 1,134 | $0.00 | |
| 3017F | 0% | 123 | $0.00 | |
| 3080F | 0% | 217 | $0.00 | |
| 1111F | 0% | 519 | $0.00 | |
| 3044F | 0% | 184 | $0.00 | |
| 3049F | 0% | 144 | $0.00 | |
| 1126F | 0% | 38 | $0.00 | |
| 3066F | 0% | 12 | $0.00 | |
| 4010F | 0% | 30 | $0.00 | |
| 1170F | 0% | 175 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 24 | $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 officialALVARADO, ARCILIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Access Medical Group Corp | Bayamon, PR | $838K |
| Advantage Health Center LLC | San Juan, PR | $746K |
| Advantage Medical Group LLC | Orlando, FL | $465K |
| Island Health Center | Bayamon, PR | $378K |
| Management Integrated Solution | San Juan, PR | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.