Hospital
Instituto Medico Del Norte INC
Instituto Medico Del Norte INC was paid $758K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 20% of everything it billed.
33Billing provider infoINSTITUTO MEDICO DEL NORTE INC
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1154309169assigned 01/09/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$758K
24GClaims21,524
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#23 of 58
Median peer was paid$486K
This provider vs. median1.6×
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 | 1,119 | $13K | |
| 2019 | 422 | $6K | |
| 2020 | 1,324 | $16K | |
| 2021 | 1,749 | $26K | |
| 2022 | 1,848 | $21K | |
| 2023 | 6,183 | $192K | |
| 2024incomplete | 8,879 | $484K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 20% | 1,063 | 617 | $150K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 2,738 | 1,339 | $140K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 12% | 5,833 | 4,434 | $92K |
| 70450 | Computed tomography, head or brain; without contrast material | 9.2% | 965 | 532 | $70K |
| 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 | 9.0% | 708 | 151 | $68K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 8.0% | 390 | 251 | $60K |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 5.0% | 656 | 382 | $38K |
| 71046 | Radiologic examination, chest; 2 views | 3.6% | 2,906 | 1,747 | $27K |
| 71045 | Radiologic examination, chest; single view | 3.6% | 4,023 | 1,596 | $27K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.7% | 288 | 282 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.4% | 219 | 160 | $18K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.9% | 355 | 199 | $14K |
13 more codes
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.0% | 286 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 153 | $4K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 127 | $4K |
| 71250 | <1% | 44 | $4K | |
| 72100 | <1% | 276 | $4K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 105 | $3K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 25 | $2K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 160 | $1K |
| 73630 | <1% | 106 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 18 | $840.00 |
| 73030 | <1% | 31 | $416.55 | |
| 72040 | <1% | 18 | $250.50 | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 31 | $112.00 |
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 officialPAGAN, JUAN (CREDENTIALING MANAGER)
| Provider | Location | Paid |
|---|---|---|
| San Pablo Developers, INC | Bayamon, PR | $224K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.