Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › San Juan › NPI 1376561522
Hospital

Hospital Espanol Auxilio Mutuo De Puerto Rico, INC.

Hospital Espanol Auxilio Mutuo De Puerto Rico, INC. was paid $111K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoHOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
SAN JUAN, PR 00917
33aNPI1376561522assigned 07/17/2006
28Total paid$111K
24GClaims2,168
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Acute Care Hospital providers in Puerto Rico

Rank by total paid#37 of 58
Median peer was paid$486K
This provider vs. median0.2×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018294$6K
2019336$4K
2020228$6K
202115$1K
202213$597.90
2023460$29K
2024incomplete822$64K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 50% 807 426 $55K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 37% 514 271 $41K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11% 723 609 $13K
99442 1.8% 98 91 $2K
96523 <1% 26 26 $218.24

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 officialMATTA, JORGE (ADMINISTRATOR)
Same official

Other billing entities under MATTA, JORGE

Full network →
ProviderLocationPaid
Hospital Espanol Auxilio Mutuo De Puerto Rico, INC.San Juan, PR$151K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.