Physician
Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $361K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoRECINTO DE CIENCIAS MEDICAS
RIO PIEDRAS, PR 00921
RIO PIEDRAS, PR 00921
33aNPI1255419859assigned 11/01/2006
33bProvider typeRheumatology Physician
28Total paid$361K
24GClaims13,621
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in Puerto Rico
Rank by total paid#4 of 31
Median peer was paid$9K
This provider vs. median38×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more
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 | 2,589 | $32K | |
| 2019 | 1,805 | $26K | |
| 2020 | 1,138 | $23K | |
| 2021 | 1,490 | $40K | |
| 2022 | 2,188 | $51K | |
| 2023 | 2,428 | $96K | |
| 2024incomplete | 1,983 | $94K |
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 | 71% | 10,261 | 8,658 | $258K |
| 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 | 23% | 1,557 | 1,090 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.3% | 1,114 | 704 | $16K |
| 99441 | <1% | 149 | 144 | $2K | |
| 99443 | <1% | 15 | 14 | $742.57 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 52 | 50 | $296.00 |
| 1159F | 0% | 18 | 16 | $0.00 | |
| 1160F | 0% | 18 | 16 | $0.00 | |
| 3078F | 0% | 66 | 48 | $0.00 | |
| 99442 | 0% | 29 | 26 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 12 | 12 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 140 | 129 | $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 officialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.