Physician
Hope Med PSC
Hope Med PSC was paid $865K by Medicaid between Mar 2022 and Dec 2024, across 12 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 33% of everything it billed.
33Billing provider infoHOPE MED PSC
SAN JUAN, PR 00919
SAN JUAN, PR 00919
33aNPI1265003198assigned 07/01/2021
33bProvider typeInternal Medicine Physician
28Total paid$865K
24GClaims8,561
24DCodes billed12
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#15 of 518
Median peer was paid$5K
This provider vs. median173×
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 | |
|---|---|---|---|
| 2022 | 466 | $31K | |
| 2023 | 3,656 | $300K | |
| 2024incomplete | 4,439 | $534K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 33% | 1,965 | 1,703 | $288K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 19% | 2,055 | 1,654 | $166K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 436 | 222 | $129K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 248 | 221 | $123K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.3% | 1,894 | 1,374 | $46K |
| 99238 | Hospital discharge day management, 30 minutes or less | 4.8% | 779 | 554 | $41K |
| 99234 | 3.7% | 402 | 292 | $32K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.6% | 302 | 283 | $31K |
| 99245 | <1% | 315 | 304 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 43 | 40 | $3K |
| 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 | <1% | 40 | 36 | $821.36 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 82 | 69 | $244.80 |
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 officialSHEHADEH, SAMAH (PRESIDENTA)