Clinic
Policlinica De Familia Factor INC
Policlinica De Familia Factor INC was paid $5K by Medicaid between Jan 2018 and Dec 2020, across 36 billing codes. Its largest line is 99283, emergency room visit (moderate) — 45% of everything it billed.
33Billing provider infoPOLICLINICA DE FAMILIA FACTOR INC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1285664573assigned 07/03/2006
33bProvider typeEmergency Care Clinic/Center
28Total paid$5K
24GClaims2,916
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#45 of 55
Median peer was paid$175K
This provider vs. median0.0×
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 | 2,855 | $5K | |
| 2020 | 61 | $90.82 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 45% | 108 | 89 | $2K |
| 80061 | Lipid panel | 8.2% | 24 | 24 | $379.20 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 7.5% | 39 | 39 | $348.84 |
| 3044F | 7.2% | 147 | 139 | $333.20 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 4.9% | 24 | 24 | $229.20 |
| 1158F | 3.6% | 155 | 146 | $168.56 | |
| 1157F | 3.6% | 164 | 152 | $168.56 | |
| 80053 | Comprehensive metabolic panel | 3.2% | 12 | 12 | $149.64 |
| 81000 | 3.2% | 40 | 40 | $149.20 | |
| 36415 | Collection of venous blood by venipuncture | 3.0% | 56 | 53 | $137.50 |
| 82043 | 2.9% | 24 | 24 | $136.40 | |
| 82270 | 2.1% | 27 | 27 | $96.00 |
24 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.3% | 127 | $60.14 |
| 87177 | 1.3% | 12 | $58.25 | |
| 0011A | 1.1% | 22 | $50.82 | |
| 99441 | <1% | 39 | $40.00 | |
| 3048F | <1% | 130 | $19.60 | |
| 3078F | <1% | 148 | $9.80 | |
| 3074F | <1% | 165 | $9.80 | |
| 4040F | <1% | 64 | $0.01 | |
| 1170F | <1% | 162 | $0.01 | |
| 2022F | 0% | 17 | $0.00 | |
| 1160F | 0% | 166 | $0.00 | |
| 3095F | 0% | 28 | $0.00 | |
| 1159F | 0% | 168 | $0.00 | |
| 4274F | 0% | 65 | $0.00 | |
| 4005F | 0% | 24 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 3072F | 0% | 101 | $0.00 | |
| 3008F | 0% | 163 | $0.00 | |
| 3017F | 0% | 163 | $0.00 | |
| 3061F | 0% | 128 | $0.00 | |
| 3014F | 0% | 27 | $0.00 | |
| 1126F | 0% | 104 | $0.00 | |
| 1125F | 0% | 27 | $0.00 | |
| 3268F | 0% | 34 | $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 officialSOTO, BRUNILDA (ADMINISTRATOR)
Parent organizationPOLICLINICA DE FAMILIA FACTOR INC
| Provider | Location | Paid |
|---|---|---|
| Policlinica De Familia Factor INC | Arecibo, PR | $269K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.