Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Municipality of San Juan PR

Municipality of San Juan PR was paid $121K by Medicaid between Feb 2018 and Jul 2024, across 11 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 79% of everything it billed.

33Billing provider infoMUNICIPALITY OF SAN JUAN PR
SAN JUAN, PR 00926
33aNPI1154391415assigned 01/26/2006
33bProvider typeClinic/Center
28Total paid$121K
24GClaims3,232
24DCodes billed11
24AFirst – last monthFeb 2018 – Jul 2024
Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#43 of 117
Median peer was paid$38K
This provider vs. median3.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,967$28K
2019208$5K
2020239$6K
2021280$26K
2022332$31K
202399$14K
2024incomplete107$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 79% 2,049 1,667 $95K
94726 4.3% 95 95 $5K
94060 4.0% 107 107 $5K
94729 3.9% 107 107 $5K
99245 2.8% 380 330 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.4% 55 55 $3K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 1.4% 55 46 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1.3% 26 16 $2K
71045 Radiologic examination, chest; single view <1% 264 110 $1K
71046 Radiologic examination, chest; 2 views <1% 73 69 $206.80
76830 Ultrasound, transvaginal <1% 21 21 $88.76

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 officialCLAS, LUIS (CEO/ EXECUTIVE DIRECTOR)
Same official

Other billing entities under CLAS, LUIS

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.