Physician
Physicians Hmo
Physicians Hmo was paid $26K by Medicaid between Jan 2018 and Apr 2024, across 22 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 100% of everything it billed.
33Billing provider infoPHYSICIANS HMO
CAROLINA, PR 00985
CAROLINA, PR 00985
33aNPI1407215585assigned 02/17/2016
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$26K
24GClaims7,030
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Puerto Rico
Rank by total paid#12 of 15
Median peer was paid$105K
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
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 | 2,058 | $1K | |
| 2019 | 898 | $18K | |
| 2021 | 309 | $1K | |
| 2022 | 1,792 | $6K | |
| 2023 | 1,961 | $201.96 | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 100% | 2,400 | 2,153 | $26K |
| 96127 | <1% | 168 | 131 | $22.09 | |
| 3008F | <1% | 652 | 525 | $0.06 | |
| 1031F | <1% | 510 | 389 | $0.06 | |
| 1036F | <1% | 405 | 316 | $0.05 | |
| 3078F | <1% | 335 | 274 | $0.04 | |
| 1126F | <1% | 361 | 253 | $0.03 | |
| 3074F | <1% | 322 | 265 | $0.03 | |
| 1157F | <1% | 208 | 195 | $0.01 | |
| 1159F | <1% | 194 | 182 | $0.01 | |
| 1158F | <1% | 206 | 193 | $0.01 | |
| 1170F | 0% | 139 | 136 | $0.00 |
10 more codes
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 officialLOPEZ, MARIBEL (ASSISTANT/PRESIDENT)