Behavioral
PR Healthcare Management Group
PR Healthcare Management Group was paid $57K by Medicaid between May 2018 and Dec 2019, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoPR HEALTHCARE MANAGEMENT GROUP
NAGUABO, PR 00718
NAGUABO, PR 00718
33aNPI1215459813assigned 07/14/2017
33bProvider typePsychologist
28Total paid$57K
24GClaims1,259
24DCodes billed3
24AFirst – last monthMay 2018 – Dec 2019
Compared with peers
Next to other Psychologist providers in Puerto Rico
Rank by total paid#17 of 80
Median peer was paid$3K
This provider vs. median22×
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 | 791 | $36K | |
| 2019 | 468 | $21K |
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 | 64% | 936 | 571 | $36K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 35% | 311 | 204 | $20K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 12 | 12 | $534.00 |
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 officialNEGRON JUDICE, HARRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| PR Healthcare Management Group | Naguabo, PR | $38K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.