Hospital De LA Concepcion INC

Hospital De LA Concepcion INC was paid $3.82M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 21% of everything it billed.

33Billing provider infoHOSPITAL DE LA CONCEPCION INC
SAN GERMAN, PR 00683

33aNPI1366484594assigned 06/12/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$3.82M

24GClaims96,955

24DCodes billed77

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Acute Care Hospital providers in Puerto Rico

Rank by total paid#3 of 58

Median peer was paid$486K

This provider vs. median7.9×

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	21,354	$1.12M
2019	5,018	$110K
2020	3,665	$71K
2021	4,199	$96K
2022	3,056	$106K
2023	20,199	$712K
2024incomplete	39,464	$1.61M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
74176	Computed tomography, abdomen and pelvis; without contrast material	21%	5,124	3,406	$805K
74177	Computed tomography, abdomen and pelvis; with contrast material	20%	4,669	2,996	$757K
70450	Computed tomography, head or brain; without contrast material	13%	5,911	3,752	$510K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	5.0%	1,395	965	$190K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.7%	13,330	9,336	$142K
71046	Radiologic examination, chest; 2 views	3.1%	11,619	8,270	$118K
76830	Ultrasound, transvaginal	2.9%	2,496	1,761	$111K
71045	Radiologic examination, chest; single view	2.8%	15,887	6,987	$109K
76700	Ultrasound, abdominal, real time with image documentation; complete	2.8%	3,136	2,090	$107K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	2.7%	1,709	234	$101K
71250		2.4%	1,152	673	$93K
77067	Screening mammography, bilateral, including computer-aided detection	2.2%	3,071	2,081	$85K

65 more codes

76641		1.4%	1,113	$53K
93970		1.1%	742	$41K
76770		<1%	1,087	$38K
73721	Magnetic resonance imaging, any joint of lower extremity; without contrast material	<1%	179	$32K
76856	Ultrasound, pelvic (nonobstetric), real time with image documentation; complete	<1%	839	$32K
74178		<1%	199	$30K
72100		<1%	2,467	$29K
76536		<1%	1,088	$29K
72125	Computed tomography, cervical spine; without contrast material	<1%	361	$29K
99222	Initial hospital care, per day, moderate complexity	<1%	257	$28K
76705	Ultrasound, abdominal, real time with image documentation; limited	<1%	411	$27K
73560		<1%	2,315	$23K
74018		<1%	2,327	$20K
76805	Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation	<1%	522	$19K
99238	Hospital discharge day management, 30 minutes or less	<1%	291	$18K
72148	Magnetic resonance imaging, lumbar spine; without contrast material	<1%	102	$18K
70486		<1%	139	$16K
78227		<1%	220	$15K
72040		<1%	1,345	$15K
77080		<1%	553	$14K
73030		<1%	1,093	$12K
73620		<1%	1,341	$12K
93923		<1%	330	$10K
73600		<1%	869	$9K
71260	Computed tomography, thorax, diagnostic; with contrast material	<1%	107	$9K
J2805	Injection, sincalide, 5 micrograms	<1%	87	$8K
73120		<1%	697	$7K
93224		<1%	68	$6K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	46	$6K
93971		<1%	151	$6K
73090		<1%	606	$6K
93000		<1%	367	$5K
73590		<1%	489	$5K
73562		<1%	635	$5K
73070		<1%	484	$5K
76870		<1%	122	$4K
73610		<1%	312	$4K
72170		<1%	629	$4K
A9537	Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries	<1%	115	$4K
73501		<1%	456	$3K
99283	Emergency room visit (moderate)	<1%	48	$3K
93227		<1%	55	$3K
73630		<1%	240	$3K
93925		<1%	49	$3K
73100		<1%	275	$3K
77073		<1%	144	$2K
99282	Emergency department visit for the evaluation and management, low to moderate severity	<1%	49	$2K
78306		<1%	34	$2K
78013		<1%	42	$2K
72081		<1%	94	$2K
72070		<1%	167	$1K
77066	Tomosynthesis, mammo	<1%	77	$1K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	170	$1K
A9503	Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries	<1%	36	$982.12
72080		<1%	96	$901.21
78452	Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress	<1%	15	$837.83
70210		<1%	51	$685.98
73502		<1%	52	$676.91
74019		<1%	50	$658.18
73552		<1%	53	$631.36
99203	Doctor's office visit, new patient (routine)	<1%	34	$289.00
70260		<1%	14	$263.25
73551		<1%	13	$196.92
73060		<1%	17	$106.55
Q9967	Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	<1%	20	$11.70

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 officialBONILLA RIVERA, FELICITA (ADMINISTRATOR)