Aps Clinics of Puerto Rico, INC.
Aps Clinics of Puerto Rico, INC. was paid $5.77M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is 90832, psychotherapy session, about 30 minutes — 25% of everything it billed.
SAN JUAN, PR 00926
Next to other Adolescent and Children Mental Health Clinic/Center 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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 15,042 | $272K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 25% | 353,365 | 323,845 | $1.42M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 278,436 | 261,067 | $1.21M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15% | 94,686 | 91,828 | $851K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 9.8% | 59,204 | 56,405 | $565K |
| 99442 | 7.2% | 84,604 | 82,298 | $417K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.8% | 48,681 | 46,793 | $275K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 3.9% | 67,735 | 61,478 | $223K |
| 99347 | 3.5% | 10,857 | 9,025 | $201K | |
| 99443 | 2.5% | 19,126 | 18,568 | $147K | |
| 99348 | 2.1% | 33,185 | 31,187 | $119K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 26,027 | 24,002 | $98K |
| 99349 | 1.6% | 1,161 | 875 | $90K |
40 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 11,332 | $61K |
| 99441 | <1% | 9,379 | $19K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,410 | $18K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 10,243 | $15K |
| 98967 | <1% | 734 | $14K | |
| 80305 | <1% | 8,412 | $11K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 190 | $3K |
| 99341 | <1% | 59 | $3K | |
| 99342 | <1% | 716 | $3K | |
| 96127 | <1% | 61,940 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 174 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 22 | $558.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 188 | $153.40 |
| 3085F | <1% | 26,142 | $0.59 | |
| Q3014 | Telehealth originating site facility fee | <1% | 23,940 | $0.56 |
| 1159F | <1% | 54,736 | $0.28 | |
| 1160F | <1% | 59,245 | $0.28 | |
| 99386 | <1% | 216 | $0.13 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,887 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 12,340 | $0.00 |
| 2010F | 0% | 7,460 | $0.00 | |
| 90889 | 0% | 544 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,680 | $0.00 |
| 1111F | 0% | 137 | $0.00 | |
| 99385 | 0% | 177 | $0.00 | |
| 99368 | 0% | 42 | $0.00 | |
| 80100 | 0% | 26 | $0.00 | |
| 99343 | 0% | 15 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16,503 | $0.00 |
| H0046 | Mental health services, not otherwise specified | 0% | 6,214 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 588 | $0.00 |
| 99334 | 0% | 814 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 2,172 | $0.00 |
| 98960 | 0% | 758 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 360 | $0.00 |
| 99337 | 0% | 37 | $0.00 | |
| 99201 | 0% | 333 | $0.00 | |
| 99397 | 0% | 88 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 464 | $0.00 |
| 99336 | 0% | 25 | $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 |
|---|---|---|
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.