Physician
Vip Healthcare Solutions INC
Vip Healthcare Solutions INC was paid $563K by Medicaid between Jun 2019 and Jan 2023, across 9 billing codes. Its largest line is 99284, emergency room visit (serious) — 44% of everything it billed.
33Billing provider infoVIP HEALTHCARE SOLUTIONS INC
CATANO, PR 00962
CATANO, PR 00962
33aNPI1326533134assigned 06/25/2018
33bProvider typePediatrics Physician
28Total paid$563K
24GClaims6,172
24DCodes billed9
24AFirst – last monthJun 2019 – Jan 2023
Compared with peers
Next to other Pediatrics Physician providers in Puerto Rico
Rank by total paid#16 of 194
Median peer was paid$7K
This provider vs. median83×
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 | 126 | $1K | |
| 2020 | 1,051 | $79K | |
| 2021 | 4,580 | $422K | |
| 2022 | 389 | $58K | |
| 2023 | 26 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 44% | 3,142 | 2,715 | $248K |
| 99236 | Prolong inpt eval add15 m | 36% | 1,397 | 1,284 | $202K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 545 | 492 | $61K |
| 99220 | 7.5% | 352 | 297 | $42K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 510 | 452 | $5K |
| 99234 | <1% | 26 | 26 | $2K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 95 | 93 | $1K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 85 | 83 | $1K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 20 | 18 | $190.00 |
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 PADILLA, IVELISSE (PRESIDENT)