Agency
Metro Ponce INC
Metro Ponce INC was paid $218K by Medicaid between Jan 2018 and Sep 2024, across 4 billing codes. Its largest line is T1030, Nursing care, in the home, by registered nurse, per diem — 51% of everything it billed.
33Billing provider infoMETRO PONCE INC
PONCE, PR 00717
PONCE, PR 00717
33aNPI1134435431assigned 08/24/2010
33bProvider typeHome Health Agency
28Total paid$218K
24GClaims2,946
24DCodes billed4
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Home Health Agency providers in Puerto Rico
Rank by total paid#17 of 29
Median peer was paid$378K
This provider vs. median0.6×
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 | 898 | $62K | |
| 2019 | 505 | $37K | |
| 2020 | 163 | $12K | |
| 2021 | 114 | $7K | |
| 2023 | 745 | $57K | |
| 2024incomplete | 521 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1030 | Nursing care, in the home, by registered nurse, per diem | 51% | 1,566 | 321 | $111K |
| T1001 | Nursing assessment / evaluation | 29% | 821 | 167 | $62K |
| S9131 | Physical therapy; in the home, per diem | 18% | 512 | 114 | $40K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 2.0% | 47 | 12 | $4K |
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, RAFAEL (EXECUTIVE DIRECTOR)
Parent organizationMETRO PONCE INC
| Provider | Location | Paid |
|---|---|---|
| Metro Ponce INC | Ponce, PR | $1.43M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.