Grupo Medicina Interna HMSJ
Grupo Medicina Interna HMSJ was paid $26K by Medicaid between Jan 2018 and Sep 2019, across 3 billing codes. Its largest line is 99283, emergency room visit (moderate) — 57% of everything it billed.
33Billing provider infoGRUPO MEDICINA INTERNA HMSJ
SAN JUAN, PR 00936
SAN JUAN, PR 00936
33aNPI1407053788assigned 06/29/2007
33bProvider typeSpecialist
28Total paid$26K
24GClaims2,286
24DCodes billed3
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#157 of 316
Median peer was paid$26K
This provider vs. median1.0×
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 | 1,494 | $11K | |
| 2019 | 792 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 57% | 1,154 | 725 | $15K |
| 99243 | 43% | 1,113 | 690 | $11K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 19 | 14 | $125.00 |
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 officialOTERO, LUIS (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Luis E Otero MD PA | Palm Springs, FL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.