Hospital
Caribe Physicians Plaza Corporation
Caribe Physicians Plaza Corporation was paid $1.42M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 76641, — 14% of everything it billed.
33Billing provider infoCARIBE PHYSICIANS PLAZA CORPORATION
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1215051404assigned 03/16/2007
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.42M
24GClaims68,313
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#15 of 58
Median peer was paid$486K
This provider vs. median2.9×
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 | 3,600 | $45K | |
| 2019 | 4,402 | $53K | |
| 2020 | 672 | $8K | |
| 2021 | 16,747 | $299K | |
| 2022 | 5,878 | $151K | |
| 2023 | 16,813 | $371K | |
| 2024incomplete | 20,201 | $488K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76641 | 14% | 3,792 | 2,277 | $196K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 10% | 3,127 | 2,291 | $146K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 9.5% | 4,365 | 2,960 | $134K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 8.8% | 2,493 | 1,954 | $124K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 8.2% | 4,244 | 3,318 | $116K |
| 71046 | Radiologic examination, chest; 2 views | 6.1% | 14,570 | 11,038 | $87K |
| 76830 | Ultrasound, transvaginal | 5.4% | 3,048 | 2,431 | $77K |
| 70450 | Computed tomography, head or brain; without contrast material | 4.2% | 2,651 | 2,068 | $59K |
| 0012A | 3.9% | 3,212 | 1,641 | $56K | |
| 0002A | 3.2% | 1,972 | 1,366 | $45K | |
| 0001A | 3.1% | 2,042 | 1,409 | $43K | |
| 76536 | 2.8% | 1,798 | 1,403 | $40K |
41 more codes
| 76770 | 2.6% | 1,254 | $36K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 2.4% | 1,207 | $33K |
| 0011A | 2.4% | 3,347 | $33K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 1.8% | 749 | $26K |
| 0064A | 1.6% | 1,763 | $22K | |
| 71045 | Radiologic examination, chest; single view | 1.4% | 3,688 | $20K |
| 93970 | 1.2% | 263 | $17K | |
| 72100 | <1% | 1,514 | $13K | |
| 0004A | <1% | 426 | $13K | |
| 0071A | <1% | 369 | $12K | |
| 0072A | <1% | 317 | $12K | |
| 93925 | <1% | 187 | $9K | |
| 72040 | <1% | 785 | $7K | |
| 74178 | <1% | 55 | $6K | |
| 73030 | <1% | 660 | $6K | |
| 0031A | <1% | 299 | $4K | |
| 73560 | <1% | 470 | $3K | |
| 0003A | <1% | 124 | $3K | |
| 71250 | <1% | 82 | $2K | |
| 73620 | <1% | 330 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 1,696 | $2K |
| 77065 | Tomosynthesis, mammo | <1% | 58 | $2K |
| 73120 | <1% | 140 | $1K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 27 | $893.35 |
| 77066 | Tomosynthesis, mammo | <1% | 23 | $830.07 |
| 73565 | <1% | 95 | $691.88 | |
| 73600 | <1% | 75 | $623.66 | |
| 99284 | Emergency room visit (serious) | <1% | 272 | $583.77 |
| 93971 | <1% | 64 | $510.15 | |
| 74018 | <1% | 90 | $493.01 | |
| 72084 | <1% | 21 | $393.72 | |
| 99285 | Emergency room visit (most serious) | <1% | 258 | $374.20 |
| 76870 | <1% | 12 | $362.19 | |
| 72082 | <1% | 26 | $360.49 | |
| 73130 | <1% | 20 | $140.10 | |
| 74019 | <1% | 15 | $124.80 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 13 | $117.30 |
| 72070 | <1% | 34 | $88.44 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 69 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 60 | $0.00 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 42 | $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 officialBUSTELO, MIGUEL (ADMINISTRATOR)