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

Centro Medicina Primaria Vega Alta

Centro Medicina Primaria Vega Alta was paid $619K by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 18% of everything it billed.

33Billing provider infoCENTRO MEDICINA PRIMARIA VEGA ALTA
VEGA ALTA, PR 00692
33aNPI1184708448assigned 10/24/2006
28Total paid$619K
24GClaims346,401
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in Puerto Rico

Rank by total paid#31 of 1,195
Median peer was paid$2K
This provider vs. median303×

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$20K$40K2018201920202021202220232024
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
201832,041$25K
201914,578$11K
202024,534$74K
202139,718$187K
202246,951$112K
202354,391$119K
2024incomplete134,188$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18% 4,814 3,941 $111K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12% 7,818 5,839 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.0% 119,462 84,361 $55K
88150 6.5% 3,235 2,772 $40K
99442 6.2% 22,006 17,769 $38K
96160 6.1% 2,759 1,935 $38K
90472 Immunization administration, each additional vaccine (list separately) 5.2% 5,015 3,703 $32K
0002A 4.9% 897 823 $30K
0001A 3.2% 870 765 $20K
90671 2.9% 202 140 $18K
0012A 2.6% 612 488 $16K
90677 2.2% 583 302 $14K
94 more codes
90649 1.9% 1,350 $11K
90697 1.8% 649 $11K
0004A 1.7% 277 $10K
0011A 1.6% 541 $10K
99050 1.5% 4,130 $9K
90670 1.4% 882 $9K
88142 1.1% 282 $7K
0072A 1.1% 173 $7K
0071A 1.0% 160 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 22,612 $6K
90734 <1% 1,249 $6K
97802 <1% 1,522 $6K
90656 <1% 1,373 $5K
99283 Emergency room visit (moderate) <1% 157 $4K
99214 Doctor's office visit, returning patient (more involved) <1% 3,836 $3K
0064A <1% 88 $3K
90620 <1% 962 $3K
0031A <1% 57 $2K
90707 <1% 921 $2K
90715 <1% 429 $2K
0054A <1% 73 $1K
0003A <1% 36 $1K
90716 <1% 903 $1K
90633 <1% 696 $1K
97803 <1% 365 $999.33
99443 <1% 126 $675.14
90680 <1% 50 $326.90
90647 <1% 377 $218.03
99441 <1% 631 $212.68
90698 <1% 166 $140.00
90696 <1% 213 $92.00
99203 Doctor's office visit, new patient (routine) <1% 58 $91.80
90723 <1% 155 $88.00
91307 <1% 39 $80.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,313 $79.38
96127 <1% 9,563 $70.18
90700 <1% 118 $56.00
92551 <1% 444 $48.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,088 $47.38
99406 <1% 5,464 $34.47
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 650 $23.69
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 592 $23.69
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 592 $23.69
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 428 $22.00
90681 <1% 181 $20.00
99204 Doctor's office visit, new patient (more involved) <1% 128 $15.02
90744 <1% 35 $12.00
90713 <1% 29 $4.00
91303 <1% 58 $0.06
91306 <1% 61 $0.01
1159F 0% 18,404 $0.00
99408 0% 8,699 $0.00
0521F 0% 3,188 $0.00
3078F 0% 5,536 $0.00
99173 0% 2,029 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 132 $0.00
3077F 0% 3,921 $0.00
1160F 0% 18,422 $0.00
92553 0% 40 $0.00
91300 0% 2,251 $0.00
99201 0% 55 $0.00
1158F 0% 96 $0.00
99409 0% 51 $0.00
99401 0% 25 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 124 $0.00
3051F 0% 36 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 0% 17 $0.00
G0451 Development testing, with interpretation and report, per standardized instrument form 0% 53 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 68 $0.00
3050F 0% 32 $0.00
3074F 0% 4,117 $0.00
1125F 0% 5,077 $0.00
3008F 0% 8,665 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 10,059 $0.00
3075F 0% 1,772 $0.00
1126F 0% 11,403 $0.00
3044F 0% 1,176 $0.00
1157F 0% 96 $0.00
91305 0% 126 $0.00
3079F 0% 3,559 $0.00
3080F 0% 476 $0.00
91301 0% 1,403 $0.00
1170F 0% 94 $0.00
3048F 0% 44 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 37 $0.00
1111F 0% 31 $0.00
1220F 0% 188 $0.00
86738 0% 34 $0.00
99386 0% 33 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 0% 136 $0.00
99385 0% 53 $0.00
93000 0% 26 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 39 $0.00
4010F 0% 23 $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 officialPASCUAL, MILDALIAS (PRESIDENT)
Same official

Other billing entities under PASCUAL, MILDALIAS

Full network →
ProviderLocationPaid
Medicos Selectos Del Norte INCVega Alta, PR$440K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.