Clinic
HPM Foundation INC
HPM Foundation INC was paid $57K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 99441, — 35% of everything it billed.
33Billing provider infoHPM FOUNDATION INC
CULEBRA, PR 00775
CULEBRA, PR 00775
33aNPI1396965679assigned 04/27/2007
33bProvider typeCommunity Health Clinic/Center
28Total paid$57K
24GClaims10,509
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#7 of 20
Median peer was paid$15K
This provider vs. median3.8×
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 | 641 | $6K | |
| 2019 | 784 | $7K | |
| 2020 | 576 | $4K | |
| 2021 | 2,418 | $16K | |
| 2022 | 2,616 | $20K | |
| 2023 | 1,852 | $4K | |
| 2024incomplete | 1,622 | $133.56 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 35% | 3,352 | 2,709 | $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 | 23% | 5,318 | 4,190 | $13K |
| 99442 | 20% | 934 | 660 | $11K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 159 | 152 | $3K |
| D1110 | Prophylaxis - adult | 4.1% | 65 | 58 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 96 | 87 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.6% | 323 | 292 | $2K |
| D0272 | Bitewings - two radiographic images | 2.6% | 62 | 62 | $1K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.9% | 57 | 57 | $1K |
| 99050 | <1% | 12 | 12 | $420.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 28 | 28 | $327.00 |
| 96160 | 0% | 53 | 53 | $0.00 |
3 more codes
| 90832 | Psychotherapy session, about 30 minutes | 0% | 12 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 15 | $0.00 |
| 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 | 0% | 23 | $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 officialRIVERA HERNANDEZ, IVONNE (CEO)