Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $387K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99205, Prolong outpt/office vis — 49% of everything it billed.
CAROLINA, PR 00984
Next to other Otolaryngology 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 | 384 | $13K | |
| 2019 | 447 | $13K | |
| 2020 | 129 | $9K | |
| 2021 | 355 | $37K | |
| 2022 | 559 | $65K | |
| 2023 | 766 | $155K | |
| 2024incomplete | 516 | $96K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 49% | 1,004 | 835 | $188K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 43% | 1,330 | 1,098 | $167K |
| 99245 | 2.1% | 264 | 251 | $8K | |
| 92511 | 1.8% | 82 | 76 | $7K | |
| 31575 | 1.8% | 69 | 66 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 260 | 243 | $5K |
| 99242 | <1% | 81 | 81 | $4K | |
| 69210 | <1% | 66 | 60 | $2K |
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 | $5.42M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.