Clinic
Inspira Behavioral Care Corp.
Inspira Behavioral Care Corp. was paid $320K by Medicaid between Nov 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoINSPIRA BEHAVIORAL CARE CORP.
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1265947113assigned 12/13/2017
33bProvider typeAdult Mental Health Clinic/Center
28Total paid$320K
24GClaims84,498
24DCodes billed22
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Adult Mental Health Clinic/Center providers in Puerto Rico
Rank by total paid#7 of 19
Median peer was paid$14K
This provider vs. median22×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more
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 | 461 | $15.00 | |
| 2019 | 1,961 | $929.73 | |
| 2020 | 5,084 | $5K | |
| 2021 | 20,397 | $64K | |
| 2022 | 19,033 | $41K | |
| 2023 | 19,920 | $95K | |
| 2024incomplete | 17,642 | $114K |
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 | 37% | 13,652 | 12,721 | $117K |
| 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 | 25% | 1,437 | 1,358 | $80K |
| 99442 | 24% | 9,813 | 9,144 | $76K | |
| 99441 | 3.5% | 9,843 | 9,150 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 5,972 | 5,533 | $10K |
| 99443 | 2.7% | 139 | 119 | $9K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 12,200 | 11,132 | $8K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,405 | 1,346 | $3K |
| 99347 | <1% | 249 | 240 | $1K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 762 | 746 | $1K |
| 98968 | <1% | 3,232 | 3,024 | $864.65 | |
| 96127 | <1% | 18,137 | 16,439 | $805.42 |
10 more codes
| 98967 | <1% | 5,446 | $757.98 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 164 | $148.61 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 16 | $146.88 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 722 | $70.00 |
| 99411 | <1% | 154 | $30.00 | |
| 98966 | <1% | 638 | $10.12 | |
| 99349 | 0% | 29 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 76 | $0.00 |
| 80305 | 0% | 391 | $0.00 | |
| 99342 | 0% | 21 | $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 officialTORRES, JAVIER (CONTRACTING DEPARTMENT DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Inspira Behavioral Care Corp. | Caguas, PR | $1.70M |
| Inspira Behavioral Care Corp. | Yauco, PR | $1.07M |
| Inspira Behavioral Care Corp. | Humacao, PR | $1.03M |
| Inspira Behavioral Care Corp. | Carolina, PR | $781K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $741K |
| Inspira Behavioral Care Corp. | Cidra, PR | $705K |
| Inspira Behavioral Care Corp. | Coamo, PR | $552K |
| Inspira Behavioral Care Corp. | Guayama, PR | $505K |
| Inspira Behavioral Care Corp. | Rio Grande, PR | $398K |
| Inspira Behavioral Care Corp. | San Juan, PR | $114K |
| Inspira Behavioral Care Corp. | San Juan, PR | $14K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $11K |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $853.00 |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $747.45 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.