Physician
Family Medicine Group INC.
Family Medicine Group INC. was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 108 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoFAMILY MEDICINE GROUP INC.
CAROLINA, PR 00985
CAROLINA, PR 00985
33aNPI1265732184assigned 10/26/2010
33bProvider typeGeneral Practice Physician
28Total paid$1.09M
24GClaims860,340
24DCodes billed108
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in Puerto Rico
Rank by total paid#7 of 1,195
Median peer was paid$2K
This provider vs. median531×
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 | 52,208 | $96K | |
| 2019 | 126,567 | $89K | |
| 2020 | 96,678 | $32K | |
| 2021 | 152,703 | $295K | |
| 2022 | 163,835 | $461K | |
| 2023 | 142,417 | $99K | |
| 2024incomplete | 125,932 | $12K |
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 | 33% | 99,670 | 87,319 | $356K |
| 99345 | Prolong home eval add 15m | 14% | 2,653 | 511 | $151K |
| 99441 | 5.9% | 22,406 | 19,957 | $65K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 5.4% | 12,028 | 10,423 | $59K |
| 0012A | 4.3% | 1,379 | 1,333 | $46K | |
| 0011A | 3.8% | 1,391 | 1,344 | $41K | |
| 0003A | 3.2% | 941 | 939 | $35K | |
| 96160 | 3.0% | 956 | 955 | $33K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 62,633 | 54,360 | $31K |
| 99442 | 2.7% | 6,351 | 5,743 | $29K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 13,261 | 11,487 | $28K |
| 0013A | 2.4% | 703 | 702 | $26K |
96 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 2.4% | 7,052 | $26K |
| 0001A | 1.9% | 655 | $21K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.6% | 14,520 | $18K |
| 0002A | 1.3% | 420 | $14K | |
| S9083 | Global fee urgent care centers | 1.2% | 6,242 | $13K |
| S9097 | Home visit for wound care | 1.1% | 276 | $12K |
| 0004A | <1% | 268 | $10K | |
| 0064A | <1% | 256 | $10K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,344 | $10K |
| 99050 | <1% | 11,370 | $8K | |
| 0124A | <1% | 207 | $8K | |
| 99443 | <1% | 6,524 | $7K | |
| 97802 | <1% | 214 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,909 | $5K |
| 0134A | <1% | 120 | $4K | |
| 0054A | <1% | 106 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,596 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,473 | $2K |
| T1002 | Rn services, up to 15 minutes | <1% | 75 | $2K |
| 96127 | <1% | 2,230 | $2K | |
| 0072A | <1% | 27 | $1K | |
| 99201 | <1% | 17 | $759.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 2,148 | $727.50 |
| 99368 | <1% | 242 | $475.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 767 | $433.91 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 728 | $301.26 |
| 99381 | <1% | 237 | $288.00 | |
| 96161 | <1% | 21,677 | $258.97 | |
| 99348 | <1% | 1,214 | $219.99 | |
| 99383 | <1% | 618 | $128.00 | |
| 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 | <1% | 692 | $97.90 |
| 97803 | <1% | 15 | $69.96 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,524 | $61.04 |
| 99384 | <1% | 450 | $58.11 | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 30 | $50.00 |
| 96150 | <1% | 122 | $18.74 | |
| 96152 | <1% | 134 | $17.20 | |
| 3008F | <1% | 67,827 | $0.04 | |
| 2001F | <1% | 64,388 | $0.03 | |
| 1124F | <1% | 14,652 | $0.02 | |
| 2000F | <1% | 62,754 | $0.02 | |
| 2010F | <1% | 65,064 | $0.02 | |
| 1159F | <1% | 26,897 | $0.01 | |
| 1160F | <1% | 36,537 | $0.01 | |
| 4035F | 0% | 24,204 | $0.00 | |
| 3078F | 0% | 14,133 | $0.00 | |
| 3028F | 0% | 15,691 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14,699 | $0.00 |
| 3077F | 0% | 3,236 | $0.00 | |
| 1158F | 0% | 6,291 | $0.00 | |
| 0521F | 0% | 5,966 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 45 | $0.00 |
| 2028F | 0% | 5,492 | $0.00 | |
| 4274F | 0% | 10,952 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 1,089 | $0.00 |
| 4013F | 0% | 524 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 693 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 320 | $0.00 |
| 99382 | 0% | 157 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 45 | $0.00 |
| 0518F | 0% | 152 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 42 | $0.00 |
| 4040F | 0% | 84 | $0.00 | |
| 1033F | 0% | 101 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 12 | $0.00 |
| 3044F | 0% | 1,096 | $0.00 | |
| 1036F | 0% | 997 | $0.00 | |
| 3011F | 0% | 245 | $0.00 | |
| 3075F | 0% | 2,527 | $0.00 | |
| 1030F | 0% | 13,968 | $0.00 | |
| 1125F | 0% | 6,327 | $0.00 | |
| 3074F | 0% | 14,261 | $0.00 | |
| 3017F | 0% | 340 | $0.00 | |
| 1157F | 0% | 5,676 | $0.00 | |
| 1170F | 0% | 11,785 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 6,360 | $0.00 |
| 3079F | 0% | 6,278 | $0.00 | |
| 1126F | 0% | 4,240 | $0.00 | |
| 1111F | 0% | 960 | $0.00 | |
| 1123F | 0% | 9,775 | $0.00 | |
| 3061F | 0% | 403 | $0.00 | |
| 3014F | 0% | 231 | $0.00 | |
| 99385 | 0% | 121 | $0.00 | |
| 3048F | 0% | 676 | $0.00 | |
| 3037F | 0% | 4,959 | $0.00 | |
| 4037F | 0% | 1,130 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 423 | $0.00 |
| 3080F | 0% | 271 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 48 | $0.00 |
| 0509F | 0% | 33 | $0.00 | |
| 3035F | 0% | 15 | $0.00 | |
| 4010F | 0% | 113 | $0.00 | |
| 3052F | 0% | 48 | $0.00 | |
| 3049F | 0% | 28 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 31 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 57 | $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 officialHESS, JORGE (PRESIDENT/OWNER)