Managed care
Centro Integrado Medico De Aibonito
Centro Integrado Medico De Aibonito was paid $17K by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoCENTRO INTEGRADO MEDICO DE AIBONITO
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1366465106assigned 07/25/2006
33bProvider typeHealth Maintenance Organization
28Total paid$17K
24GClaims139,644
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#22 of 37
Median peer was paid$25K
This provider vs. median0.7×
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 | 16,126 | $987.50 | |
| 2019 | 35,854 | $689.50 | |
| 2020 | 17,009 | $482.45 | |
| 2021 | 21,136 | $1K | |
| 2022 | 8,315 | $247.32 | |
| 2023 | 20,645 | $12K | |
| 2024incomplete | 20,559 | $454.10 |
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 | 57% | 23,312 | 20,259 | $10K |
| 99442 | 24% | 3,126 | 2,654 | $4K | |
| 99441 | 14% | 6,697 | 5,878 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.9% | 1,617 | 1,281 | $480.52 |
| 96160 | 2.1% | 87 | 80 | $360.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,590 | 1,432 | $46.47 |
| 1158F | <1% | 5,407 | 5,217 | $5.88 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 930 | 465 | $0.14 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 174 | 148 | $0.03 |
| 96150 | <1% | 523 | 490 | $0.01 | |
| 96127 | <1% | 914 | 822 | $0.01 | |
| 1160F | 0% | 13,448 | 12,388 | $0.00 |
52 more codes
| 4013F | 0% | 561 | $0.00 | |
| 1159F | 0% | 12,947 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 452 | $0.00 |
| 3078F | 0% | 7,111 | $0.00 | |
| 3050F | 0% | 135 | $0.00 | |
| 0521F | 0% | 404 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 838 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 256 | $0.00 |
| 3077F | 0% | 1,266 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 3725F | 0% | 304 | $0.00 | |
| 99397 | 0% | 26 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 15 | $0.00 |
| 1033F | 0% | 692 | $0.00 | |
| 3015F | 0% | 124 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,001 | $0.00 |
| 3028F | 0% | 71 | $0.00 | |
| 99401 | 0% | 445 | $0.00 | |
| 99409 | 0% | 53 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 196 | $0.00 |
| 1090F | 0% | 13 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 58 | $0.00 |
| 4035F | 0% | 113 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 2010F | 0% | 5,696 | $0.00 | |
| 3074F | 0% | 8,014 | $0.00 | |
| 1126F | 0% | 2,423 | $0.00 | |
| 3079F | 0% | 2,888 | $0.00 | |
| 1036F | 0% | 2,930 | $0.00 | |
| 1170F | 0% | 6,098 | $0.00 | |
| 3014F | 0% | 300 | $0.00 | |
| 1125F | 0% | 3,772 | $0.00 | |
| 2001F | 0% | 5,706 | $0.00 | |
| 1101F | 0% | 131 | $0.00 | |
| 2000F | 0% | 4,586 | $0.00 | |
| 3008F | 0% | 4,500 | $0.00 | |
| 3048F | 0% | 1,706 | $0.00 | |
| 3044F | 0% | 346 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 412 | $0.00 |
| 3075F | 0% | 1,020 | $0.00 | |
| 96161 | 0% | 530 | $0.00 | |
| 1157F | 0% | 1,137 | $0.00 | |
| 3011F | 0% | 502 | $0.00 | |
| 99050 | 0% | 461 | $0.00 | |
| 1111F | 0% | 283 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 173 | $0.00 |
| 3049F | 0% | 426 | $0.00 | |
| 96156 | 0% | 345 | $0.00 | |
| 3080F | 0% | 198 | $0.00 | |
| 3037F | 0% | 71 | $0.00 | |
| 3017F | 0% | 43 | $0.00 | |
| 1000F | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialVARGAS GONZALEZ, DIEGO (PRESIDENT)