Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo
Corporacion Servicios Medicos Primarios Y Prevencion De Hatillo was paid $2.87M by Medicaid between Jan 2018 and Nov 2024, across 122 billing codes. Its largest line is 96160, — 28% of everything it billed.
33Billing provider infoCORPORACION SERVICIOS MEDICOS PRIMARIOS Y PREVENCION DE HATILLO
HATILLO, PR 00659
HATILLO, PR 00659
33aNPI1306877279assigned 07/06/2006
33bProvider typeSpecialist
28Total paid$2.87M
24GClaims353,264
24DCodes billed122
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#4 of 316
Median peer was paid$26K
This provider vs. median112×
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 | 36,701 | $460K | |
| 2019 | 37,413 | $104K | |
| 2020 | 32,994 | $235K | |
| 2021 | 62,953 | $529K | |
| 2022 | 64,112 | $462K | |
| 2023 | 59,858 | $660K | |
| 2024incomplete | 59,233 | $423K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 28% | 28,726 | 26,289 | $810K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 142,962 | 121,913 | $792K |
| 99050 | 22% | 18,590 | 16,862 | $626K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 24,529 | 22,680 | $129K |
| 99442 | 3.0% | 22,919 | 20,798 | $88K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 4,205 | 4,092 | $70K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 8,166 | 5,238 | $51K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 4,666 | 3,033 | $44K |
| 0002A | <1% | 1,171 | 1,024 | $28K | |
| 99443 | <1% | 1,701 | 1,615 | $20K | |
| 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 | <1% | 837 | 725 | $16K |
| 0004A | <1% | 414 | 408 | $14K |
110 more codes
| 0001A | <1% | 1,202 | $14K | |
| 90670 | <1% | 2,322 | $13K | |
| 90651 | <1% | 2,275 | $13K | |
| 0003A | <1% | 299 | $11K | |
| 90686 | <1% | 3,735 | $11K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,941 | $8K |
| 90734 | <1% | 2,009 | $8K | |
| 0012A | <1% | 377 | $8K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,316 | $7K |
| 97803 | <1% | 702 | $7K | |
| 90716 | <1% | 2,060 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,971 | $6K |
| 90715 | <1% | 1,892 | $6K | |
| 90707 | <1% | 1,965 | $6K | |
| 97802 | <1% | 466 | $5K | |
| 90633 | <1% | 1,879 | $5K | |
| 90620 | <1% | 1,212 | $4K | |
| 93000 | <1% | 392 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,216 | $4K |
| 0071A | <1% | 103 | $4K | |
| 0072A | <1% | 101 | $4K | |
| 0011A | <1% | 369 | $3K | |
| 90649 | <1% | 790 | $3K | |
| 99441 | <1% | 769 | $2K | |
| 90621 | <1% | 406 | $2K | |
| 90698 | <1% | 623 | $2K | |
| 90696 | <1% | 637 | $2K | |
| 99347 | <1% | 972 | $2K | |
| 90648 | <1% | 549 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 576 | $2K |
| 90700 | <1% | 616 | $2K | |
| 90688 | <1% | 431 | $2K | |
| 90697 | <1% | 428 | $1K | |
| 90677 | <1% | 484 | $1K | |
| 90680 | <1% | 258 | $974.30 | |
| 90744 | <1% | 226 | $660.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 141 | $399.36 |
| 90674 | <1% | 135 | $292.20 | |
| 90681 | <1% | 122 | $284.00 | |
| 99401 | <1% | 425 | $205.00 | |
| 90723 | <1% | 44 | $189.44 | |
| 99368 | <1% | 562 | $175.00 | |
| 90658 | <1% | 60 | $166.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 324 | $160.55 |
| 96127 | <1% | 3,196 | $155.04 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 868 | $151.96 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 133 | $108.52 |
| 90732 | <1% | 34 | $100.00 | |
| 1158F | <1% | 77 | $97.02 | |
| 90714 | <1% | 30 | $72.00 | |
| 90685 | <1% | 12 | $48.00 | |
| 90657 | <1% | 15 | $44.00 | |
| 99384 | <1% | 42 | $28.08 | |
| 90656 | <1% | 43 | $0.10 | |
| 90619 | <1% | 395 | $0.03 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,238 | $0.00 |
| 1159F | 0% | 449 | $0.00 | |
| 3078F | 0% | 4,662 | $0.00 | |
| 1160F | 0% | 477 | $0.00 | |
| 99051 | 0% | 1,313 | $0.00 | |
| 0521F | 0% | 232 | $0.00 | |
| 2028F | 0% | 643 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 533 | $0.00 |
| 3046F | 0% | 393 | $0.00 | |
| 91300 | 0% | 2,406 | $0.00 | |
| 3077F | 0% | 849 | $0.00 | |
| 3725F | 0% | 1,493 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 525 | $0.00 |
| G9797 | Patient is not on a high intensity statin therapy | 0% | 100 | $0.00 |
| G8506 | Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 484 | $0.00 |
| 99408 | 0% | 2,219 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 132 | $0.00 |
| 99173 | 0% | 158 | $0.00 | |
| 99348 | 0% | 38 | $0.00 | |
| 3051F | 0% | 253 | $0.00 | |
| 2014F | 0% | 39 | $0.00 | |
| 1033F | 0% | 27 | $0.00 | |
| 91312 | 0% | 13 | $0.00 | |
| 4013F | 0% | 21 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 761 | $0.00 |
| 3079F | 0% | 1,717 | $0.00 | |
| 3049F | 0% | 79 | $0.00 | |
| 3048F | 0% | 112 | $0.00 | |
| 3075F | 0% | 1,988 | $0.00 | |
| 3351F | 0% | 1,180 | $0.00 | |
| 2001F | 0% | 77 | $0.00 | |
| 3044F | 0% | 496 | $0.00 | |
| 3352F | 0% | 1,796 | $0.00 | |
| 4010F | 0% | 551 | $0.00 | |
| 1111F | 0% | 854 | $0.00 | |
| 3074F | 0% | 3,474 | $0.00 | |
| 96150 | 0% | 3,590 | $0.00 | |
| 3008F | 0% | 2,638 | $0.00 | |
| 88142 | 0% | 427 | $0.00 | |
| 1126F | 0% | 119 | $0.00 | |
| 91307 | 0% | 201 | $0.00 | |
| 91301 | 0% | 746 | $0.00 | |
| 3061F | 0% | 69 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 12 | $0.00 |
| 3080F | 0% | 110 | $0.00 | |
| 1170F | 0% | 45 | $0.00 | |
| 99422 | 0% | 144 | $0.00 | |
| 3052F | 0% | 133 | $0.00 | |
| 3017F | 0% | 12 | $0.00 | |
| 90647 | 0% | 16 | $0.00 | |
| 1157F | 0% | 16 | $0.00 | |
| 99350 | Prolong home eval add 15m | 0% | 15 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 43 | $0.00 |
| 99484 | 0% | 17 | $0.00 | |
| 1125F | 0% | 16 | $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 MERCADO, LORENA (EXECUTIVE DIRECTOR)