Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $5.42M by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 48% of everything it billed.
SAN JUAN, PR 00929
Next to other Neonatal-Perinatal Medicine 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.
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 | 2,681 | $505K | |
| 2019 | 3,794 | $783K | |
| 2020 | 2,344 | $355K | |
| 2021 | 3,368 | $399K | |
| 2022 | 4,391 | $542K | |
| 2023 | 6,140 | $1.04M | |
| 2024incomplete | 7,616 | $1.80M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 48% | 7,406 | 1,285 | $2.59M |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 20% | 3,415 | 351 | $1.09M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 16% | 4,403 | 756 | $874K |
| 99460 | 5.6% | 4,612 | 4,095 | $303K | |
| 99462 | 4.8% | 7,544 | 2,777 | $258K | |
| 99478 | 2.4% | 598 | 110 | $131K | |
| 99464 | 1.3% | 1,095 | 1,027 | $72K | |
| 99468 | 1.0% | 139 | 132 | $55K | |
| 99241 | <1% | 923 | 787 | $21K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 80 | 14 | $15K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 81 | 64 | $9K |
| 99477 | <1% | 24 | 24 | $6K |
1 more codes
| 99205 | Prolong outpt/office vis | <1% | 14 | $1K |
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 |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.