Clinic
Hospital General De Castaner INC
Hospital General De Castaner INC was paid $150K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoHOSPITAL GENERAL DE CASTANER INC
CASTANER, PR 00631
CASTANER, PR 00631
33aNPI1255752325assigned 12/17/2013
33bProvider typeUrgent Care Clinic/Center
28Total paid$150K
24GClaims28,166
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Puerto Rico
Rank by total paid#5 of 16
Median peer was paid$72K
This provider vs. median2.1×
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 | 6,127 | $44K | |
| 2019 | 4,046 | $4K | |
| 2020 | 2,407 | $1K | |
| 2021 | 3,522 | $48K | |
| 2022 | 4,343 | $33K | |
| 2023 | 3,869 | $17K | |
| 2024incomplete | 3,852 | $3K |
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 | 32% | 7,837 | 6,956 | $48K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 2,607 | 2,299 | $23K |
| 0002A | 9.8% | 413 | 403 | $15K | |
| 0004A | 7.1% | 340 | 279 | $11K | |
| 0001A | 6.8% | 404 | 391 | $10K | |
| 0012A | 5.0% | 188 | 187 | $7K | |
| 0011A | 4.9% | 187 | 183 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.8% | 2,562 | 2,107 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 465 | 389 | $4K |
| 0071A | 1.7% | 68 | 67 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 349 | 316 | $2K |
| 0072A | 1.3% | 47 | 47 | $2K |
41 more codes
| 99441 | 1.2% | 744 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 60 | $2K |
| 99442 | <1% | 202 | $1K | |
| 91307 | <1% | 144 | $1K | |
| 90461 | <1% | 118 | $1K | |
| 90656 | <1% | 129 | $900.12 | |
| 90686 | <1% | 457 | $816.00 | |
| 93000 | <1% | 113 | $799.00 | |
| 96127 | <1% | 2,974 | $727.88 | |
| 0064A | <1% | 15 | $600.00 | |
| 92002 | <1% | 16 | $250.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $209.69 |
| 90688 | <1% | 71 | $200.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | $140.00 |
| 90658 | <1% | 33 | $132.00 | |
| 91300 | <1% | 1,315 | $3.03 | |
| 3725F | 0% | 177 | $0.00 | |
| 3077F | 0% | 292 | $0.00 | |
| 3078F | 0% | 571 | $0.00 | |
| 90670 | 0% | 12 | $0.00 | |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 103 | $0.00 |
| 1159F | 0% | 68 | $0.00 | |
| 1158F | 0% | 68 | $0.00 | |
| 1160F | 0% | 68 | $0.00 | |
| 99173 | 0% | 15 | $0.00 | |
| 3075F | 0% | 214 | $0.00 | |
| 1220F | 0% | 2,758 | $0.00 | |
| 91301 | 0% | 407 | $0.00 | |
| 4010F | 0% | 247 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 37 | $0.00 |
| 3074F | 0% | 219 | $0.00 | |
| 1157F | 0% | 68 | $0.00 | |
| 3079F | 0% | 398 | $0.00 | |
| 3351F | 0% | 313 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 3017F | 0% | 122 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 91306 | 0% | 15 | $0.00 | |
| 1170F | 0% | 29 | $0.00 | |
| 1101F | 0% | 28 | $0.00 | |
| 3014F | 0% | 26 | $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 officialMONROIG, DOMINGO (EXECUTIVE DIRECTOR)
Parent organizationCLINICA HOSPITAL GENERAL CASTANER INC.
| Provider | Location | Paid |
|---|---|---|
| Hospital General De Castaner INC | Castaner, PR | $607K |
| Hospital General De Castaner INC | Castaner, PR | $211K |
| Hospital General De Castaner INC. | Castaner, PR | $131K |
| Hospital General De Castaner, INC. | Adjuntas, PR | $118K |
| Hospital General De Castaner INC | Castaner, PR | $16K |
| Hospital General De Castaner INC. | Jayuya, PR | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.