Managed care
Hatillo Cardiovascular INC
Hatillo Cardiovascular INC was paid $525K by Medicaid between Jan 2018 and Sep 2020, across 11 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 42% of everything it billed.
33Billing provider infoHATILLO CARDIOVASCULAR INC
HATILLO, PR 00659
HATILLO, PR 00659
33aNPI1265791941assigned 05/15/2012
33bProvider typeExclusive Provider Organization
28Total paid$525K
24GClaims7,105
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Exclusive Provider Organization providers in Puerto Rico
Rank by total paid#6 of 19
Median peer was paid$250K
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 | 3,324 | $227K | |
| 2019 | 2,290 | $165K | |
| 2020 | 1,491 | $133K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 42% | 874 | 868 | $218K |
| 93880 | 17% | 726 | 721 | $90K | |
| 93224 | 17% | 674 | 669 | $89K | |
| 93784 | 7.5% | 724 | 719 | $39K | |
| 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 | 7.1% | 1,671 | 1,651 | $37K |
| 93000 | 6.1% | 2,111 | 2,076 | $32K | |
| 93015 | 1.6% | 59 | 59 | $8K | |
| 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 | 1.0% | 225 | 223 | $5K |
| 93925 | <1% | 14 | 14 | $3K | |
| 93970 | <1% | 14 | 14 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13 | 13 | $782.86 |
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 officialPERAZA, JUAN (CARDIOLOGIST)