Clinic
Consultorio Medico Clinico DR Gomez Adrover PSC
Consultorio Medico Clinico DR Gomez Adrover PSC was paid $53K by Medicaid between Jan 2018 and Oct 2024, across 33 billing codes. Its largest line is 96160, — 90% of everything it billed.
33Billing provider infoCONSULTORIO MEDICO CLINICO DR GOMEZ ADROVER PSC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1306126990assigned 08/26/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$53K
24GClaims40,412
24DCodes billed33
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#20 of 65
Median peer was paid$9K
This provider vs. median6.1×
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 | 560 | $76.96 | |
| 2020 | 3,689 | $5K | |
| 2021 | 7,367 | $9K | |
| 2022 | 9,195 | $8K | |
| 2023 | 8,401 | $14K | |
| 2024incomplete | 11,200 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 90% | 1,710 | 1,615 | $47K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 3,975 | 3,437 | $2K |
| 90688 | 2.9% | 87 | 75 | $2K | |
| 90656 | 2.8% | 90 | 89 | $1K | |
| 99442 | <1% | 704 | 696 | $127.46 | |
| 99490 | Ccm add 20min | <1% | 69 | 67 | $44.94 |
| 1158F | 0% | 1,982 | 1,885 | $0.00 | |
| 0521F | 0% | 1,984 | 1,887 | $0.00 | |
| 1160F | 0% | 1,984 | 1,887 | $0.00 | |
| 1159F | 0% | 1,983 | 1,886 | $0.00 | |
| 1090F | 0% | 1,981 | 1,885 | $0.00 | |
| 3078F | 0% | 3,668 | 3,214 | $0.00 |
21 more codes
| 0518F | 0% | 1,983 | $0.00 | |
| 3725F | 0% | 1,983 | $0.00 | |
| 3050F | 0% | 70 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 39 | $0.00 |
| 1170F | 0% | 1,984 | $0.00 | |
| 3014F | 0% | 1,043 | $0.00 | |
| 1126F | 0% | 1,842 | $0.00 | |
| 99386 | 0% | 110 | $0.00 | |
| 3075F | 0% | 1,545 | $0.00 | |
| 3074F | 0% | 2,497 | $0.00 | |
| 3017F | 0% | 1,554 | $0.00 | |
| 3048F | 0% | 757 | $0.00 | |
| 1157F | 0% | 1,984 | $0.00 | |
| 4010F | 0% | 41 | $0.00 | |
| 99385 | 0% | 51 | $0.00 | |
| 3079F | 0% | 506 | $0.00 | |
| 3008F | 0% | 2,003 | $0.00 | |
| 3044F | 0% | 13 | $0.00 | |
| 1030F | 0% | 58 | $0.00 | |
| 3049F | 0% | 117 | $0.00 | |
| 1125F | 0% | 15 | $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 officialGOMEZ ADROVER, REYNALDO (PRESIDENT)