Physician
Grupo Medico Enmanuel CSP
Grupo Medico Enmanuel CSP was paid $91K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 0004A, — 27% of everything it billed.
33Billing provider infoGRUPO MEDICO ENMANUEL CSP
BARRANQUITAS, PR 00794
BARRANQUITAS, PR 00794
33aNPI1215040936assigned 08/16/2006
33bProvider typeInternal Medicine Physician
28Total paid$91K
24GClaims82,974
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#131 of 518
Median peer was paid$5K
This provider vs. median18×
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 | 9,429 | $139.00 | |
| 2019 | 11,548 | $215.00 | |
| 2020 | 8,512 | $819.48 | |
| 2021 | 13,478 | $47K | |
| 2022 | 12,731 | $30K | |
| 2023 | 13,037 | $12K | |
| 2024incomplete | 14,239 | $43.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0004A | 27% | 804 | 778 | $25K | |
| 0064A | 14% | 426 | 383 | $12K | |
| 0012A | 14% | 312 | 310 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 61,827 | 54,518 | $9K |
| 0011A | 8.9% | 325 | 324 | $8K | |
| 0072A | 7.8% | 206 | 206 | $7K | |
| 0071A | 7.0% | 198 | 195 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 6,601 | 5,540 | $2K |
| 0003A | 2.2% | 77 | 74 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.8% | 4,079 | 3,270 | $2K |
| 0124A | 1.5% | 47 | 35 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 3,771 | 3,089 | $1K |
22 more codes
| 0013A | <1% | 19 | $680.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 819 | $547.79 |
| 0073A | <1% | 17 | $520.00 | |
| 90656 | <1% | 327 | $518.41 | |
| 0002A | <1% | 13 | $360.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 178 | $45.00 |
| 96127 | 0% | 266 | $0.00 | |
| 98962 | 0% | 280 | $0.00 | |
| 90660 | 0% | 51 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 99447 | 0% | 32 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $0.00 |
| 99411 | 0% | 592 | $0.00 | |
| 90734 | 0% | 46 | $0.00 | |
| 3725F | 0% | 943 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 380 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 43 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 79 | $0.00 |
| 90649 | 0% | 35 | $0.00 | |
| 99408 | 0% | 12 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 96160 | 0% | 133 | $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 officialVAZQUEZ ASTACIO, ESTEBAN (PRESIDENTE)