Physician
Innovative Hospitalist Medicine Care, INC.
Innovative Hospitalist Medicine Care, INC. was paid $172K by Medicaid between Mar 2022 and Aug 2024, across 9 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 64% of everything it billed.
33Billing provider infoINNOVATIVE HOSPITALIST MEDICINE CARE, INC.
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1366935660assigned 06/11/2018
33bProvider typeInternal Medicine Physician
28Total paid$172K
24GClaims1,588
24DCodes billed9
24AFirst – last monthMar 2022 – Aug 2024
Compared with peers
Next to other Internal Medicine Physician providers in Puerto Rico
Rank by total paid#87 of 518
Median peer was paid$5K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2022 | 223 | $32K | |
| 2023 | 761 | $86K | |
| 2024incomplete | 604 | $53K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 64% | 399 | 356 | $109K |
| 99223 | Prolong inpt eval add15 m | 23% | 321 | 293 | $40K |
| 99238 | Hospital discharge day management, 30 minutes or less | 12% | 394 | 353 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 44 | 43 | $3K |
| 1031F | 0% | 100 | 92 | $0.00 | |
| 3008F | 0% | 100 | 91 | $0.00 | |
| 1036F | 0% | 80 | 73 | $0.00 | |
| 1159F | 0% | 67 | 63 | $0.00 | |
| 1160F | 0% | 83 | 78 | $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 officialCASANOVA, ERICK (PRESIDENT)