Toa Alta Family Clinic LLC
Toa Alta Family Clinic LLC was paid $1K by Medicaid between Mar 2023 and Dec 2024, across 53 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 100% of everything it billed.
TOA ALTA, PR 00953
Next to other General Practice Physician providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 18,951 | $1K | |
| 2024incomplete | 37,683 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 100% | 182 | 176 | $1K |
| 3725F | 0% | 1,506 | 1,016 | $0.00 | |
| 99442 | 0% | 4,666 | 3,265 | $0.00 | |
| 4035F | 0% | 4,340 | 2,887 | $0.00 | |
| 3050F | 0% | 232 | 145 | $0.00 | |
| 4013F | 0% | 2,124 | 1,465 | $0.00 | |
| 0521F | 0% | 639 | 458 | $0.00 | |
| 3078F | 0% | 409 | 293 | $0.00 | |
| 1159F | 0% | 3,799 | 2,736 | $0.00 | |
| 3077F | 0% | 223 | 175 | $0.00 | |
| 1160F | 0% | 3,741 | 2,671 | $0.00 | |
| 1158F | 0% | 1,645 | 1,013 | $0.00 |
41 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 162 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 250 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 458 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 15 | $0.00 |
| 2028F | 0% | 12 | $0.00 | |
| 99397 | 0% | 33 | $0.00 | |
| 1030F | 0% | 492 | $0.00 | |
| 1125F | 0% | 1,214 | $0.00 | |
| 3014F | 0% | 137 | $0.00 | |
| 3066F | 0% | 34 | $0.00 | |
| 1126F | 0% | 2,956 | $0.00 | |
| 3017F | 0% | 562 | $0.00 | |
| 1036F | 0% | 3,483 | $0.00 | |
| 3353F | 0% | 175 | $0.00 | |
| 4008F | 0% | 545 | $0.00 | |
| 1170F | 0% | 1,212 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 8,952 | $0.00 |
| 3044F | 0% | 150 | $0.00 | |
| 3008F | 0% | 4,493 | $0.00 | |
| 1157F | 0% | 1,730 | $0.00 | |
| 4010F | 0% | 2,462 | $0.00 | |
| 3049F | 0% | 381 | $0.00 | |
| 3048F | 0% | 925 | $0.00 | |
| 3351F | 0% | 435 | $0.00 | |
| 3352F | 0% | 507 | $0.00 | |
| 3079F | 0% | 111 | $0.00 | |
| 3061F | 0% | 202 | $0.00 | |
| 99386 | 0% | 86 | $0.00 | |
| 99385 | 0% | 73 | $0.00 | |
| 3075F | 0% | 64 | $0.00 | |
| 3080F | 0% | 17 | $0.00 | |
| 3754F | 0% | 170 | $0.00 | |
| 3074F | 0% | 214 | $0.00 | |
| 3271F | 0% | 68 | $0.00 | |
| 99441 | 0% | 57 | $0.00 | |
| 3060F | 0% | 13 | $0.00 | |
| 1022F | 0% | 105 | $0.00 | |
| 4015F | 0% | 13 | $0.00 | |
| 3268F | 0% | 75 | $0.00 | |
| 1034F | 0% | 68 | $0.00 | |
| 3354F | 0% | 17 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Policlinica LA Familia Toa Alta, INC. | Toa Alta, PR | $47K |
| Family Health Clinic of Caribbean, INC | Toa Alta, PR | $7K |
| Centro Imagenes Radiologia Toa Alta | Toa Alta, PR | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.