Clinic
Atenas Community Health Center, INC
Atenas Community Health Center, INC was paid $165K by Medicaid between Jan 2018 and Nov 2023, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoATENAS COMMUNITY HEALTH CENTER, INC
MANATI, PR 00674
MANATI, PR 00674
33aNPI1356654628assigned 07/15/2010
33bProvider typePrimary Care Clinic/Center
28Total paid$165K
24GClaims15,313
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#12 of 65
Median peer was paid$9K
This provider vs. median19×
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.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 9,473 | $140K | |
| 2019 | 4,969 | $20K | |
| 2020 | 320 | $90.00 | |
| 2021 | 173 | $536.78 | |
| 2022 | 198 | $2K | |
| 2023 | 180 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60% | 10,224 | 8,461 | $99K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 30% | 3,732 | 3,419 | $50K |
| 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 | 6.7% | 1,101 | 1,049 | $11K |
| 96160 | 3.1% | 198 | 198 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $264.00 |
| 72110 | <1% | 32 | 32 | $234.32 | |
| 72040 | <1% | 14 | 14 | $74.76 |
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.
From NPPES
Who's on the registration
Authorized officialGOMEZ, ZEIMY (DIRECTORA EJECUTIVA)
| Provider | Location | Paid |
|---|---|---|
| Atenas Community Health Center Achc INC | Manati, PR | $1.16M |
| Atenas Community Health Center Achc INC | Manati, PR | $220K |
| Atenas Community Health Center Achc INC | Manati, PR | $285.02 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.