Clinic
Family Health Clinic of Caribbean, INC
Family Health Clinic of Caribbean, INC was paid $7K by Medicaid between Dec 2018 and Oct 2024, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 94% of everything it billed.
33Billing provider infoFAMILY HEALTH CLINIC OF CARIBBEAN, INC
TOA ALTA, PR 00953
TOA ALTA, PR 00953
33aNPI1205239589assigned 10/01/2014
33bProvider typeClinic/Center
28Total paid$7K
24GClaims7,586
24DCodes billed24
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#81 of 117
Median peer was paid$38K
This provider vs. median0.2×
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 | 98 | $108.00 | |
| 2019 | 1,184 | $3K | |
| 2020 | 949 | $1K | |
| 2021 | 680 | $936.39 | |
| 2022 | 1,680 | $451.49 | |
| 2023 | 2,537 | $1K | |
| 2024incomplete | 458 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 94% | 1,383 | 1,187 | $7K |
| 99442 | 5.7% | 442 | 401 | $393.61 | |
| 1159F | 0% | 739 | 680 | $0.00 | |
| 4035F | 0% | 520 | 494 | $0.00 | |
| 1160F | 0% | 724 | 665 | $0.00 | |
| 3725F | 0% | 107 | 92 | $0.00 | |
| 1158F | 0% | 200 | 178 | $0.00 | |
| 3028F | 0% | 41 | 37 | $0.00 | |
| 0518F | 0% | 163 | 153 | $0.00 | |
| 4013F | 0% | 24 | 24 | $0.00 | |
| 3078F | 0% | 12 | 12 | $0.00 | |
| 1170F | 0% | 767 | 692 | $0.00 |
12 more codes
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 officialCHEVRES, ITZA (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Policlinica LA Familia Toa Alta, INC. | Toa Alta, PR | $47K |
| Centro Imagenes Radiologia Toa Alta | Toa Alta, PR | $1K |
| Toa Alta Family Clinic LLC | Toa Alta, PR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.