Clinic
Endomed LLC
Endomed LLC was paid $174K by Medicaid between Jun 2019 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 65% of everything it billed.
33Billing provider infoENDOMED LLC
SAN JUAN, PR 00909
SAN JUAN, PR 00909
33aNPI1295269900assigned 04/19/2017
33bProvider typeMedical Specialty Clinic/Center
28Total paid$174K
24GClaims2,687
24DCodes billed10
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#20 of 54
Median peer was paid$61K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2019 | 80 | $969.26 | |
| 2020 | 188 | $5K | |
| 2021 | 178 | $6K | |
| 2022 | 417 | $21K | |
| 2023 | 764 | $51K | |
| 2024incomplete | 1,060 | $90K |
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 | 65% | 1,192 | 1,009 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 1,158 | 1,027 | $59K |
| 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% | 14 | 12 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 30 | $119.00 |
| 99442 | 0% | 13 | 13 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 113 | 93 | $0.00 |
| 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 | 0% | 16 | 16 | $0.00 |
| 3048F | 0% | 65 | 57 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 73 | 62 | $0.00 |
| 3044F | 0% | 13 | 12 | $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 officialALVAREZ VALENTIN, DALITZA (PRESIDENT)