Clinic
Inspira Mental Health Management
Inspira Mental Health Management was paid $28K by Medicaid between Jan 2018 and Oct 2018, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 99% of everything it billed.
33Billing provider infoINSPIRA MENTAL HEALTH MANAGEMENT
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1114388691assigned 03/11/2016
28Total paid$28K
24GClaims24,142
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2018
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Puerto Rico
Rank by total paid#21 of 61
Median peer was paid$7K
This provider vs. median4.3×
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 | 24,142 | $28K |
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 | 99% | 2,876 | 2,601 | $28K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 2,622 | 2,314 | $103.50 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,075 | 7,694 | $90.00 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 4,255 | 3,901 | $60.00 |
| 99411 | 0% | 3,330 | 3,089 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 444 | 400 | $0.00 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 0% | 817 | 785 | $0.00 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 14 | 12 | $0.00 |
| 99347 | 0% | 90 | 75 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 1,079 | 1,058 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 147 | 146 | $0.00 |
| 99368 | 0% | 338 | 304 | $0.00 |
1 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 55 | $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 officialVARELA, ALBERTO (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| Inspira Psychiatric Services PSC | San Juan, PR | $2.54M |
| Inspira Mental Health Management | Coamo, PR | $34K |
| Inspira Mental Health Management | Carolina, PR | $14K |
| Inspira Mental Health Management | Loiza, PR | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.