Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Ponce › NPI 1174593545
Physician

Primary Medical Group,c.S.P.

Primary Medical Group,c.S.P. was paid $128K by Medicaid between Jan 2018 and Feb 2020, across 11 billing codes. Its largest line is 99050, — 85% of everything it billed.

33Billing provider infoPRIMARY MEDICAL GROUP,C.S.P.
PONCE, PR 00717
33aNPI1174593545assigned 01/26/2006
28Total paid$128K
24GClaims8,126
24DCodes billed11
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers

Next to other Geriatric Medicine (Family Medicine) Physician providers in Puerto Rico

Rank by total paid#3 of 16
Median peer was paid$40.07
This provider vs. median3,197×

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$20K2018201920202021202220232024
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
20185,914$105K
20191,971$18K
2020241$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99050 85% 6,612 5,957 $109K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 6.1% 232 213 $8K
93000 5.3% 606 599 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 2.0% 353 325 $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 1.5% 99 82 $2K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 76 73 $4.03
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 13 13 $1.34
J7050 Infusion, normal saline solution, 250 cc <1% 40 39 $0.54
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 69 65 $0.44
J0690 Injection, cefazolin sodium, 500 mg <1% 13 13 $0.12
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 0% 13 12 $0.00

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 officialDEL RIO, IRAIDA (PRESIDENTE)