Hospital
Metrohealth, INC.
Metrohealth, INC. was paid $907K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 29% of everything it billed.
33Billing provider infoMETROHEALTH, INC.
SAN JUAN, PR 00921
SAN JUAN, PR 00921
33aNPI1275580763assigned 05/28/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$907K
24GClaims27,633
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#21 of 58
Median peer was paid$486K
This provider vs. median1.9×
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 | 3,092 | $112K | |
| 2019 | 3,005 | $64K | |
| 2020 | 2,212 | $60K | |
| 2021 | 2,139 | $60K | |
| 2022 | 3,160 | $77K | |
| 2023 | 7,486 | $249K | |
| 2024incomplete | 6,539 | $286K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 29% | 1,576 | 1,128 | $259K |
| 70450 | Computed tomography, head or brain; without contrast material | 20% | 2,302 | 1,677 | $186K |
| 74178 | 12% | 684 | 496 | $106K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 11% | 685 | 504 | $103K |
| 71046 | Radiologic examination, chest; 2 views | 5.3% | 5,409 | 3,971 | $48K |
| 71045 | Radiologic examination, chest; single view | 4.9% | 7,344 | 5,005 | $45K |
| 76641 | 4.8% | 2,015 | 1,566 | $43K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 3.5% | 1,178 | 925 | $32K |
| 77066 | Tomosynthesis, mammo | 3.0% | 1,678 | 1,264 | $27K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.6% | 622 | 478 | $14K |
| 76830 | Ultrasound, transvaginal | 1.3% | 494 | 400 | $12K |
| 72100 | <1% | 1,021 | 852 | $9K |
16 more codes
| 72040 | <1% | 643 | $5K | |
| 70210 | <1% | 455 | $5K | |
| 74018 | <1% | 437 | $4K | |
| 70220 | <1% | 159 | $2K | |
| 73560 | <1% | 265 | $2K | |
| 77080 | <1% | 196 | $2K | |
| 76770 | <1% | 66 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 95 | $906.46 |
| 76536 | <1% | 65 | $737.17 | |
| 73030 | <1% | 77 | $551.87 | |
| 73620 | <1% | 75 | $525.50 | |
| 73610 | <1% | 21 | $167.08 | |
| 73120 | <1% | 27 | $156.88 | |
| 72070 | <1% | 12 | $121.86 | |
| 71010 | <1% | 19 | $6.83 | |
| 71020 | 0% | 13 | $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 officialNEVAREZ, DOMINGO (EXECUTIVE DIRECTOR)