Managed care
Organizacion De Salud Administrada-Osa, INC
Organizacion De Salud Administrada-Osa, INC was paid $119K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is Q0091, Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory — 43% of everything it billed.
33Billing provider infoORGANIZACION DE SALUD ADMINISTRADA-OSA, INC
CAROLINA, PR 00980
CAROLINA, PR 00980
33aNPI1316248131assigned 11/10/2010
33bProvider typePreferred Provider Organization
28Total paid$119K
24GClaims21,195
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Puerto Rico
Rank by total paid#4 of 5
Median peer was paid$277K
This provider vs. median0.4×
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 | 8,409 | $9K | |
| 2019 | 2,776 | $364.37 | |
| 2020 | 1,083 | $462.06 | |
| 2021 | 2,222 | $11K | |
| 2022 | 2,036 | $17K | |
| 2023 | 3,027 | $71K | |
| 2024incomplete | 1,642 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 43% | 4,223 | 3,858 | $51K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 33% | 5,560 | 4,964 | $39K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.4% | 1,621 | 1,512 | $10K |
| 99348 | 5.2% | 695 | 664 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 885 | 771 | $5K |
| 57454 | 3.7% | 24 | 12 | $4K | |
| 99050 | 2.4% | 2,784 | 2,658 | $3K | |
| 99201 | <1% | 746 | 736 | $339.24 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,254 | 288 | $286.00 |
| 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% | 155 | 151 | $153.60 |
| 97802 | <1% | 309 | 299 | $28.13 | |
| 97803 | <1% | 29 | 29 | $24.49 |
14 more codes
| 96161 | <1% | 613 | $3.91 | |
| 92557 | 0% | 73 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 270 | $0.00 |
| 92568 | 0% | 114 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 544 | $0.00 |
| 92588 | 0% | 63 | $0.00 | |
| 88150 | 0% | 360 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 238 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 204 | $0.00 |
| 96150 | 0% | 108 | $0.00 | |
| 3008F | 0% | 78 | $0.00 | |
| 2010F | 0% | 94 | $0.00 | |
| 2001F | 0% | 91 | $0.00 | |
| 92567 | 0% | 60 | $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 officialHESS- RIUTORT, JORGE (PRESIDENT)