PHM Multidisciplinary Clinic LLC

PHM Multidisciplinary Clinic LLC was paid $30K by Medicaid between Mar 2021 and Jul 2023, across 5 billing codes. Its largest line is 97803, — 41% of everything it billed.

33Billing provider infoPHM MULTIDISCIPLINARY CLINIC LLC
SAN JUAN, PR 00926

33aNPI1174079537assigned 08/26/2016

33bProvider typeClinic/Center

28Total paid$30K

24GClaims955

24DCodes billed5

24AFirst – last monthMar 2021 – Jul 2023

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#61 of 117

Median peer was paid$38K

This provider vs. median0.8×

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
2021	343	$12K
2022	512	$15K
2023	100	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97803		41%	535	427	$12K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	41%	209	137	$12K
97802		17%	166	162	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	12	$153.60
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	32	31	$54.26

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 officialMARRERO, WALESKA (MEDICAL AND HEALTH SERVICES DIRECTO)