Clinic
Centro Obstetrico Area Sur Este
Centro Obstetrico Area Sur Este was paid $451K by Medicaid between Feb 2018 and Oct 2024, across 9 billing codes. Its largest line is 59400, Routine obstetric care including antepartum care, vaginal delivery, and postpartum care — 31% of everything it billed.
33Billing provider infoCENTRO OBSTETRICO AREA SUR ESTE
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1194149633assigned 02/04/2014
33bProvider typeCorporate Health Clinic/Center
28Total paid$451K
24GClaims3,479
24DCodes billed9
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Corporate Health Clinic/Center providers in Puerto Rico
Rank by total paid#3 of 13
Median peer was paid$33K
This provider vs. median14×
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 | 430 | $158K | |
| 2019 | 153 | $3K | |
| 2020 | 468 | $36K | |
| 2021 | 1,020 | $109K | |
| 2022 | 494 | $49K | |
| 2023 | 595 | $63K | |
| 2024incomplete | 319 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | 31% | 109 | 105 | $138K |
| 76818 | 25% | 1,261 | 732 | $112K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 1,062 | 951 | $91K |
| 76801 | 13% | 651 | 607 | $61K | |
| 59426 | 6.4% | 106 | 84 | $29K | |
| 59510 | 2.4% | 12 | 12 | $11K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 126 | 122 | $4K |
| 59430 | <1% | 20 | 14 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 132 | 92 | $3K |
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 officialHERNANDEZ, EDWARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Eyes of the Southwest, PC | Las Cruces, NM | $466K |
| Edward P. & Diane M. Hernandez | La Puente, CA | $310K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.