Integrate Community Health System
Integrate Community Health System was paid $95K by Medicaid between Jul 2019 and Oct 2024, across 9 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 29% of everything it billed.
SAN JUAN, PR 00918
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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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 73 | $3K | |
| 2020 | 271 | $17K | |
| 2021 | 469 | $23K | |
| 2022 | 324 | $17K | |
| 2023 | 319 | $14K | |
| 2024incomplete | 318 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 29% | 602 | 588 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 404 | 317 | $26K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 22% | 371 | 364 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 184 | 181 | $13K |
| 99205 | Prolong outpt/office vis | 4.8% | 108 | 108 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 32 | 31 | $1K |
| D1110 | Prophylaxis - adult | 1.0% | 28 | 16 | $974.20 |
| D1999 | <1% | 30 | 16 | $435.30 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 15 | 15 | $40.96 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Metro Pavia Healthcare Centers | Arecibo, PR | $1.17M |
| Integrate Community Health System | Guayama, PR | $525K |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $179K |
| Integrate Community Health System | Aguadilla, PR | $115K |
| Integrate Community Health System | Humacao, PR | $67K |
| Integrate Community Health System | Caguas, PR | $49K |
| Integrate Community Health System | Carolina, PR | $40K |
| Integrate Community Health System | Bayamon, PR | $25K |
| Integrate Community Health System, INC. | Aguadilla, PR | $18K |
| Metro Pavia Healthcare Centers | Ponce, PR | $11K |
| Integrate Community Health System | Bayamon, PR | $5K |
| Metro Pavia Healthcare Center | Arecibo, PR | $3K |
| Integrate Community Health System, INC | Bayamon, PR | $866.58 |
| Integrate Community Health System | Bayamon, PR | $365.40 |
| Integrate Community Health System | Guayama, PR | $209.20 |
| Integrate Community Health System | Hato Rey, PR | $99.00 |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $54.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.