Prime Medica PSC
Prime Medica PSC was paid $1K by Medicaid between May 2021 and Dec 2024, across 27 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 95% of everything it billed.
AGUADA, PR 00602
Next to other Primary Care Clinic/Center providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 702 | $0.00 | |
| 2022 | 1,977 | $259.76 | |
| 2023 | 4,080 | $322.98 | |
| 2024incomplete | 12,334 | $778.50 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 95% | 3,754 | 3,051 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 1,268 | 1,100 | $69.26 |
| 3078F | 0% | 1,894 | 1,438 | $0.00 | |
| 1160F | 0% | 773 | 726 | $0.00 | |
| 3725F | 0% | 259 | 174 | $0.00 | |
| 1158F | 0% | 1,220 | 1,124 | $0.00 | |
| 3077F | 0% | 200 | 161 | $0.00 | |
| 1159F | 0% | 774 | 727 | $0.00 | |
| 4035F | 0% | 771 | 723 | $0.00 | |
| 2028F | 0% | 766 | 718 | $0.00 | |
| 3050F | 0% | 71 | 56 | $0.00 | |
| 3008F | 0% | 770 | 722 | $0.00 |
15 more codes
| 3044F | 0% | 578 | $0.00 | |
| 3079F | 0% | 202 | $0.00 | |
| 3074F | 0% | 1,845 | $0.00 | |
| 3014F | 0% | 319 | $0.00 | |
| 3048F | 0% | 275 | $0.00 | |
| 3061F | 0% | 585 | $0.00 | |
| 1126F | 0% | 622 | $0.00 | |
| 1170F | 0% | 1,205 | $0.00 | |
| 1157F | 0% | 365 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 77 | $0.00 |
| 3017F | 0% | 156 | $0.00 | |
| 3049F | 0% | 201 | $0.00 | |
| 3080F | 0% | 51 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| 3075F | 0% | 80 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Aguada Medical Center INC. | Aguada, PR | $991K |
| Advanced Gastroenterology Center, PSC | Aguada, PR | $416K |
| Aguada Medical Center INC. | Aguada, PR | $211K |
| Aguada Medical Center, INC. | Aguada, PR | $96K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.