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

A&a Advanced Urological Institute PSC

A&a Advanced Urological Institute PSC was paid $654K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.

33Billing provider infoA&A ADVANCED UROLOGICAL INSTITUTE PSC
MANATI, PR 00674
33aNPI1164466025assigned 06/15/2006
33bProvider typeUrology Physician
28Total paid$654K
24GClaims7,991
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Urology Physician providers in Puerto Rico

Rank by total paid#3 of 62
Median peer was paid$25K
This provider vs. median26×

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$10K$20K$30K2018201920202021202220232024
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
20181,034$36K
2019586$32K
2020886$83K
20211,050$75K
20221,120$80K
20231,313$128K
2024incomplete2,002$221K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 58% 4,829 4,168 $378K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18% 1,076 958 $118K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 1,654 1,535 $80K
J3315 Injection, triptorelin pamoate, 3.75 mg 8.7% 69 66 $57K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 263 263 $19K
96402 <1% 100 92 $3K

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 officialRAMIREZ, ALBERTO (PRESIDENT)