Clinic
Departamento De Salud Oficial
Departamento De Salud Oficial was paid $167K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.
33Billing provider infoDEPARTAMENTO DE SALUD OFICIAL
PONCE, PR 00731
PONCE, PR 00731
33aNPI1255464293assigned 03/13/2007
33bProvider typeHealth Service Clinic/Center
28Total paid$167K
24GClaims10,567
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Puerto Rico
Rank by total paid#10 of 66
Median peer was paid$16K
This provider vs. median11×
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 | 1,543 | $25K | |
| 2019 | 1,416 | $17K | |
| 2020 | 536 | $17K | |
| 2021 | 518 | $23K | |
| 2022 | 532 | $17K | |
| 2023 | 3,663 | $51K | |
| 2024incomplete | 2,359 | $18K |
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 | 87% | 5,427 | 4,710 | $145K |
| 99442 | 2.6% | 105 | 97 | $4K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 2.0% | 932 | 806 | $3K |
| 87536 | 1.8% | 96 | 91 | $3K | |
| 87590 | 1.6% | 218 | 175 | $3K | |
| 87490 | 1.4% | 217 | 175 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 111 | 100 | $1K |
| 86593 | <1% | 1,247 | 1,096 | $857.60 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 32 | 32 | $854.68 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 732 | 646 | $834.56 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 729 | 644 | $834.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 101 | 77 | $565.65 |
5 more codes
| 86780 | <1% | 395 | $349.10 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 97 | $281.50 |
| 81000 | <1% | 96 | $242.04 | |
| 99201 | <1% | 12 | $175.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | $172.55 |
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 officialDURAN, CUIDUVEL (DIRECTOR EJECUTIVO)
| Provider | Location | Paid |
|---|---|---|
| Departamento De Salud Oficial | Rio Piedras, PR | $1.04M |
| Departamento De Salud Oficial | San Juan, PR | $356K |
| Departamento De Salud Oficial | Fajardo, PR | $70K |
| Departamento De Salud Oficial | Mayaguez, PR | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.