Clinic
Inspira Psychiatric Services PSC
Inspira Psychiatric Services PSC was paid $2.54M by Medicaid between Jan 2018 and Jun 2019, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoINSPIRA PSYCHIATRIC SERVICES PSC
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1114972700assigned 05/23/2006
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$2.54M
24GClaims65,177
24DCodes billed13
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Puerto Rico
Rank by total paid#1 of 19
Median peer was paid$14K
This provider vs. median177×
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 | 51,668 | $2.02M | |
| 2019 | 13,509 | $513K |
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 | 40% | 22,676 | 20,931 | $1.01M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 26% | 19,798 | 18,043 | $663K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 19% | 13,020 | 12,632 | $490K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 4.3% | 2,744 | 2,724 | $109K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.1% | 2,689 | 2,683 | $104K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.8% | 1,212 | 1,172 | $72K |
| 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% | 842 | 717 | $31K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 528 | 514 | $23K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 385 | 341 | $13K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 540 | 444 | $13K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 643 | 554 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 72 | 37 | $3K |
1 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 28 | $834.50 |
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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Inspira Mental Health Management | Coamo, PR | $34K |
| Inspira Mental Health Management | Guayama, PR | $28K |
| 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.