Managed care
Corporacion Profesional Salud
Corporacion Profesional Salud was paid $108K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoCORPORACION PROFESIONAL SALUD
HUMACAO, PR 00792
HUMACAO, PR 00792
33aNPI1235432584assigned 12/08/2010
33bProvider typeExclusive Provider Organization
28Total paid$108K
24GClaims1,883
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Puerto Rico
Rank by total paid#12 of 19
Median peer was paid$250K
This provider vs. median0.4×
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 | 280 | $4K | |
| 2019 | 215 | $6K | |
| 2020 | 305 | $23K | |
| 2021 | 488 | $32K | |
| 2022 | 416 | $28K | |
| 2023 | 107 | $9K | |
| 2024incomplete | 72 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 41% | 876 | 716 | $44K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 30% | 274 | 260 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 478 | 429 | $26K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 5.6% | 255 | 240 | $6K |
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 officialVICENS, RAFAEL (PRESIDENT)