Supplier
HPM Foundation INC
HPM Foundation INC was paid $2.76M by Medicaid between Jan 2018 and Dec 2024, across 187 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 11% of everything it billed.
33Billing provider infoHPM FOUNDATION INC
SAN JUAN, PR 00915
SAN JUAN, PR 00915
33aNPI1316167661assigned 04/27/2007
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2.76M
24GClaims406,801
24DCodes billed187
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Puerto Rico
Rank by total paid#8 of 32
Median peer was paid$500K
This provider vs. median5.5×
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 | 69,748 | $447K | |
| 2019 | 61,653 | $334K | |
| 2020 | 43,970 | $325K | |
| 2021 | 55,491 | $413K | |
| 2022 | 51,061 | $399K | |
| 2023 | 57,311 | $372K | |
| 2024incomplete | 67,567 | $466K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 136,925 | 118,911 | $292K |
| 96160 | 7.3% | 14,435 | 13,223 | $202K | |
| D1110 | Prophylaxis - adult | 6.5% | 6,219 | 5,428 | $179K |
| D1999 | 5.6% | 10,306 | 8,891 | $154K | |
| 99050 | 5.3% | 5,903 | 5,560 | $145K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.6% | 24,976 | 22,019 | $126K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.4% | 6,414 | 5,601 | $94K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 3,345 | 2,876 | $64K |
| D1208 | Topical application of fluoride, excluding varnish | 2.3% | 4,492 | 3,839 | $64K |
| 84443 | Thyroid stimulating hormone (TSH) | 2.3% | 4,376 | 4,220 | $64K |
| D0272 | Bitewings - two radiographic images | 2.3% | 4,332 | 3,760 | $63K |
| 97803 | 2.0% | 3,406 | 3,204 | $56K |
175 more codes
| 92002 | 2.0% | 2,014 | $54K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 2,689 | $53K |
| D0330 | Panoramic radiographic image | 1.8% | 1,622 | $50K |
| 97802 | 1.8% | 2,478 | $50K | |
| 80061 | Lipid panel | 1.7% | 3,988 | $46K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 4,513 | $44K |
| 80053 | Comprehensive metabolic panel | 1.5% | 4,646 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 6,255 | $41K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 1.4% | 1,380 | $39K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.3% | 2,982 | $36K |
| 92015 | Determination of refractive state | 1.3% | 3,107 | $35K |
| 99441 | 1.3% | 9,460 | $35K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 1.2% | 1,383 | $34K |
| 0002A | 1.1% | 1,454 | $31K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.1% | 10,974 | $31K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.1% | 604 | $30K |
| 0001A | <1% | 1,502 | $27K | |
| 0012A | <1% | 832 | $27K | |
| 0011A | <1% | 911 | $25K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,141 | $24K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,829 | $24K |
| 84439 | <1% | 2,654 | $23K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 884 | $22K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 5,202 | $20K |
| 82274 | <1% | 1,277 | $18K | |
| 0071A | <1% | 450 | $17K | |
| V2020 | Frames, purchases | <1% | 568 | $16K |
| 0072A | <1% | 383 | $15K | |
| 81000 | <1% | 5,280 | $15K | |
| 83987 | <1% | 854 | $13K | |
| 90656 | <1% | 4,765 | $12K | |
| 90670 | <1% | 2,999 | $12K | |
| 0013A | <1% | 282 | $11K | |
| 87275 | <1% | 957 | $10K | |
| 87276 | <1% | 956 | $10K | |
| 86701 | <1% | 1,154 | $10K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 366 | $10K |
| 0004A | <1% | 232 | $9K | |
| 0064A | <1% | 226 | $9K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 201 | $9K |
| 90649 | <1% | 2,545 | $8K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,471 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,235 | $6K |
| 90633 | <1% | 3,146 | $6K | |
| 86592 | <1% | 1,616 | $6K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,259 | $6K |
| 90677 | <1% | 676 | $6K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 335 | $6K |
| 0003A | <1% | 145 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 149 | $5K |
| 99442 | <1% | 1,013 | $5K | |
| 80074 | <1% | 117 | $5K | |
| 87088 | <1% | 719 | $5K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 967 | $5K |
| 91307 | <1% | 890 | $5K | |
| 90716 | <1% | 2,184 | $4K | |
| 90707 | <1% | 2,161 | $4K | |
| 92250 | <1% | 468 | $4K | |
| 90734 | <1% | 1,447 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 90 | $4K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 349 | $4K |
| 86803 | <1% | 300 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 114 | $4K |
| 86703 | <1% | 331 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,101 | $4K |
| 84436 | <1% | 589 | $3K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 431 | $3K |
| 83655 | <1% | 241 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,591 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,992 | $3K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 335 | $3K |
| 84153 | <1% | 163 | $3K | |
| 90715 | <1% | 745 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 133 | $3K |
| 86738 | <1% | 212 | $3K | |
| 90723 | <1% | 647 | $2K | |
| 90461 | <1% | 551 | $2K | |
| 90648 | <1% | 663 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,736 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,844 | $2K |
| D2140 | <1% | 64 | $2K | |
| 90680 | <1% | 461 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,321 | $2K |
| 82951 | <1% | 148 | $2K | |
| 82607 | <1% | 113 | $2K | |
| 90698 | <1% | 473 | $2K | |
| 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 | <1% | 136 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 111 | $1K |
| 90657 | <1% | 247 | $1K | |
| D1351 | Sealant - per tooth | <1% | 82 | $1K |
| 90700 | <1% | 528 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 585 | $1K |
| 90696 | <1% | 501 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 202 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 149 | $1K |
| 85730 | <1% | 215 | $1K | |
| 90620 | <1% | 672 | $1K | |
| 84703 | <1% | 188 | $1K | |
| 90655 | <1% | 358 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,910 | $1K |
| 99201 | <1% | 112 | $968.07 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | <1% | 57 | $947.16 |
| 82947 | <1% | 239 | $862.95 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 123 | $833.26 |
| 84702 | <1% | 58 | $832.88 | |
| 90647 | <1% | 223 | $824.00 | |
| 90658 | <1% | 346 | $819.00 | |
| 85610 | <1% | 220 | $809.25 | |
| 0134A | <1% | 52 | $760.00 | |
| 86328 | <1% | 77 | $741.00 | |
| 87177 | <1% | 117 | $664.93 | |
| 85651 | <1% | 194 | $635.44 | |
| 86696 | <1% | 35 | $631.05 | |
| 90744 | <1% | 155 | $620.00 | |
| 82677 | <1% | 25 | $576.00 | |
| 0094A | <1% | 14 | $560.00 | |
| 99368 | <1% | 675 | $525.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,683 | $487.64 |
| 90480 | <1% | 12 | $480.00 | |
| 86336 | <1% | 24 | $458.14 | |
| 86695 | <1% | 35 | $440.30 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 77 | $434.60 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 109 | $413.31 |
| 90837 | Psychotherapy session, about an hour | <1% | 252 | $378.00 |
| 86762 | <1% | 26 | $356.48 | |
| 82570 | <1% | 73 | $345.48 | |
| 90681 | <1% | 190 | $344.00 | |
| 90697 | <1% | 418 | $342.18 | |
| 86580 | <1% | 38 | $307.30 | |
| 84156 | <1% | 82 | $272.00 | |
| 87390 | <1% | 16 | $252.30 | |
| 82105 | <1% | 13 | $208.00 | |
| 85660 | <1% | 39 | $204.64 | |
| 82950 | <1% | 42 | $203.85 | |
| 87070 | <1% | 24 | $197.28 | |
| 86900 | <1% | 54 | $150.55 | |
| 86038 | <1% | 12 | $138.36 | |
| 87807 | <1% | 12 | $124.56 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $124.56 |
| 82270 | <1% | 39 | $120.90 | |
| 90621 | <1% | 92 | $116.00 | |
| 86901 | <1% | 41 | $113.50 | |
| 87340 | <1% | 13 | $107.35 | |
| V5008 | Hearing screening | <1% | 1,629 | $100.00 |
| 82043 | <1% | 15 | $94.50 | |
| 90713 | <1% | 12 | $48.00 | |
| 96127 | <1% | 3,989 | $47.31 | |
| 99401 | <1% | 2,566 | $20.54 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | <1% | 18 | $20.00 |
| 99173 | <1% | 210 | $3.20 | |
| 91301 | <1% | 2,104 | $0.33 | |
| 90619 | <1% | 336 | $0.03 | |
| G0420 | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour | <1% | 147 | $0.02 |
| 91306 | 0% | 225 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 575 | $0.00 |
| 1111F | 0% | 461 | $0.00 | |
| 99384 | 0% | 16 | $0.00 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 12 | $0.00 |
| 91309 | 0% | 14 | $0.00 | |
| 99383 | 0% | 46 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| 90688 | 0% | 65 | $0.00 | |
| 90686 | 0% | 16 | $0.00 | |
| 0074A | 0% | 13 | $0.00 | |
| 99408 | 0% | 4,530 | $0.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 0% | 42 | $0.00 |
| 91313 | 0% | 52 | $0.00 | |
| 91300 | 0% | 3,451 | $0.00 | |
| 90671 | 0% | 154 | $0.00 | |
| 90785 | 0% | 24 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 86 | $0.00 |
| 0124A | 0% | 16 | $0.00 | |
| 90587 | 0% | 26 | $0.00 | |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 24 | $0.00 |
| 91312 | 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 officialRIVERA, IVONNE (CEO)
| Provider | Location | Paid |
|---|---|---|
| HPM Foundation INC | San Juan, PR | $2.71M |
| HPM Foundation INC Centro De Imagen | San Juan, PR | $671K |
| HPM Foundation Clinical Laboratory | Vieques, PR | $18K |
| HPM Foundation INC | Guaynabo, PR | $11K |
| HPM Foundation INC | San Juan, PR | $1K |
| HPM Foundation INC | Carolina, PR | $508.71 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.