Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

APS CLINICS OF PUERTO RICO, INC.

NPI: 1336194448 · SAN JUAN, PR 00926 · Adolescent and Children Mental Health Clinic/Center · NPI assigned 05/24/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MORALES, JASON controls 17+ related entities in our dataset. Read more

$5.77M
Total Medicaid Paid
1,398,809
Total Claims
1,313,606
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMORALES, JASON (VP REGULATORY AFFAIRS)
Parent OrganizationMETRO HOLDINGS, INC.
NPI Enumeration Date05/24/2006

Related Entities

Other providers sharing the same authorized official: MORALES, JASON

ProviderCityStateTotal Paid
APS CLINICS OF PUERTO RICO, INC. MAYAGUEZ PR $13K
APS CLINICS OF PUERTO RICO, INC. CAROLINA PR $7K
APS CLINICS OF PUERTO RICO, INC. NARANJITO PR $6K
APS CLINICS OF PUERTO RICO, INC. ARECIBO PR $5K
APS CLINICS OF PUERTO RICO, INC. CIDRA PR $5K
APS CLINICS OF PUERTO RICO, INC. MANATI PR $5K
APS CLINICS OF PUERTO RICO, INC. YAUCO PR $4K
APS CLINICS OF PUERTO RICO, INC. AGUADILLA PR $4K
APS CLINICS OF PUERTO RICO, INC. PONCE PR $4K
APS CLINICS OF PUERTO RICO, INC. HUMACAO PR $3K
APS CLINICS OF PUERTO RICO, INC. BAYAMON PR $2K
APS CLINICS OF PUERTO RICO, INC. TOA BAJA PR $2K
APS CLINICS OF PUERTO RICO, INC. SAN JUAN PR $2K
APS CLINICS OF PUERTO RICO, INC. MOCA PR $2K
APS CLINICS OF PUERTO RICO, INC. CAGUAS PR $915.65
APS CLINICS OF PUERTO RICO, INC. GUAYAMA PR $0.00
APS CLINICS OF PUERTO RICO, INC. SAN JUAN PR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 103,133 $1.28M
2019 242,167 $1.35M
2020 309,871 $1.00M
2021 241,619 $976K
2022 267,060 $0.00
2023 219,917 $877K
2024 15,042 $272K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 353,365 323,845 $1.42M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 278,436 261,067 $1.21M
90792 Psychiatric diagnostic evaluation with medical services 94,686 91,828 $851K
90791 Psychiatric diagnostic evaluation 59,204 56,405 $565K
99442 84,604 82,298 $417K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 48,681 46,793 $275K
90834 Psychotherapy, 45 minutes with patient 67,735 61,478 $223K
99347 10,857 9,025 $201K
99443 19,126 18,568 $147K
99348 33,185 31,187 $119K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26,027 24,002 $98K
99349 1,161 875 $90K
99215 Prolong outpt/office vis 11,332 10,365 $61K
99441 9,379 9,057 $19K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,410 1,380 $18K
90853 Group psychotherapy (other than of a multiple-family group) 10,243 7,304 $15K
98967 734 703 $14K
80305 8,412 6,790 $11K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 190 177 $3K
99341 59 35 $3K
99342 716 695 $3K
96127 61,940 59,627 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 174 171 $2K
99205 Prolong outpt/office vis 22 16 $558.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 188 182 $153.40
3085F 26,142 25,713 $0.59
Q3014 Telehealth originating site facility fee 23,940 22,142 $0.56
1159F 54,736 54,305 $0.28
1160F 59,245 58,152 $0.28
99386 216 123 $0.13
36415 Collection of venous blood by venipuncture 1,887 1,817 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12,340 11,369 $0.00
2010F 7,460 7,432 $0.00
90889 544 507 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,680 1,631 $0.00
1111F 137 136 $0.00
99385 177 97 $0.00
99368 42 42 $0.00
80100 26 23 $0.00
99343 15 15 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 16,503 16,203 $0.00
H0046 Mental health services, not otherwise specified 6,214 6,160 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 588 343 $0.00
99334 814 810 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,172 1,017 $0.00
98960 758 705 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 360 235 $0.00
99337 37 36 $0.00
99201 333 326 $0.00
99397 88 44 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 464 325 $0.00
99336 25 25 $0.00