Clinica Familiar Pajuil CSP

Clinica Familiar Pajuil CSP was paid $144K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 0002A, — 41% of everything it billed.

33Billing provider infoCLINICA FAMILIAR PAJUIL CSP
HATILLO, PR 00659

33aNPI1174850283assigned 11/10/2009

33bProvider typePrimary Care Clinic/Center

28Total paid$144K

24GClaims10,221

24DCodes billed33

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Primary Care Clinic/Center providers in Puerto Rico

Rank by total paid#13 of 65

Median peer was paid$9K

This provider vs. median17×

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	690	$970.10
2020	70	$280.00
2021	7,941	$119K
2022	929	$23K
2023	357	$820.00
2024incomplete	234	$168.86

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
0002A		41%	1,695	1,353	$60K
0001A		22%	1,840	1,482	$32K
0004A		19%	727	707	$28K
0071A		7.0%	254	254	$10K
0072A		6.9%	250	250	$10K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	254	251	$996.00
90686		<1%	201	201	$640.06
0054A		<1%	34	34	$639.84
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%	129	101	$537.66
90688		<1%	119	119	$468.00
90651		<1%	167	146	$336.12
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	66	66	$248.00

21 more codes

90658		<1%	43	$172.00
3078F		<1%	135	$126.42
3074F		<1%	133	$126.42
90734		<1%	79	$120.12
90707		<1%	42	$120.11
90716		<1%	37	$100.11
90715		<1%	69	$72.08
90696		<1%	13	$52.00
90670		<1%	12	$48.00
1157F		<1%	30	$23.60
90671		<1%	39	$0.16
90621		<1%	42	$0.10
91300		0%	3,541	$0.00
1160F		0%	76	$0.00
1159F		0%	75	$0.00
G0444	Annual depression screening, 5 to 15 minutes	0%	26	$0.00
91312		0%	16	$0.00
0124A		0%	16	$0.00
1170F		0%	31	$0.00
91305		0%	14	$0.00
1125F		0%	16	$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 officialVIERA, NANCY (MD/OWNER)