Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Behavioral

Puerto Rico Community for Clinical Services, Research and Health

Puerto Rico Community for Clinical Services, Research and Health was paid $105K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.

33Billing provider infoPUERTO RICO COMMUNITY FOR CLINICAL SERVICES, RESEARCH AND HEALTH
RIO PIEDRAS, PR 00925
33aNPI1396776472assigned 07/06/2006
33bProvider typePsychologist
28Total paid$105K
24GClaims10,353
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Psychologist providers in Puerto Rico

Rank by total paid#14 of 80
Median peer was paid$3K
This provider vs. median40×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,794$26K
2019505$5K
2020112$2K
2021499$4K
20221,069$22K
20232,250$21K
2024incomplete4,124$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 4,156 2,950 $63K
99442 11% 453 373 $12K
D1999 9.5% 855 639 $10K
99441 4.6% 2,009 596 $5K
D1110 Prophylaxis - adult 4.6% 193 158 $5K
99443 2.8% 67 64 $3K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 2.0% 152 121 $2K
97803 1.7% 89 44 $2K
97802 1.6% 99 39 $2K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 1,044 783 $943.96
D0220 Intraoral - periapical first radiographic image <1% 27 25 $206.40
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient <1% 45 41 $96.28
6 more codes
96127 <1% 263 $64.20
99215 Doctor's office visit, returning patient (complex) <1% 206 $18.48
99368 0% 41 $0.00
1160F 0% 301 $0.00
1159F 0% 301 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 0% 52 $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 officialCABRERA BONET, CARLOS (EXECUTIVE DIRECTOR)