Managed care
G.M.D.C. INC
G.M.D.C. INC was paid $690.88 by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 96160, — 58% of everything it billed.
33Billing provider infoG.M.D.C. INC
SAN JUAN, PR 00926
SAN JUAN, PR 00926
33aNPI1417165135assigned 05/18/2007
33bProvider typePoint of Service
28Total paid$690.88
24GClaims252,698
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Point of Service providers in Puerto Rico
Rank by total paid#11 of 12
Median peer was paid$26K
This provider vs. median0.0×
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 | 4,311 | $13.00 | |
| 2019 | 20,472 | $151.90 | |
| 2020 | 31,255 | $0.00 | |
| 2021 | 75,365 | $125.98 | |
| 2022 | 69,605 | $0.00 | |
| 2023 | 35,035 | $400.00 | |
| 2024incomplete | 16,655 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 58% | 435 | 400 | $400.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 63,080 | 26,346 | $184.39 |
| 99442 | 7.7% | 1,247 | 345 | $53.49 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.1% | 10,664 | 4,522 | $35.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 2,218 | 1,100 | $18.00 |
| 1159F | 0% | 17,228 | 6,498 | $0.00 | |
| 3078F | 0% | 17,992 | 6,871 | $0.00 | |
| 99397 | 0% | 2,239 | 829 | $0.00 | |
| 3725F | 0% | 1,269 | 957 | $0.00 | |
| 1160F | 0% | 16,936 | 6,390 | $0.00 | |
| 99348 | 0% | 333 | 171 | $0.00 | |
| 1033F | 0% | 8,810 | 3,651 | $0.00 |
44 more codes
| 99408 | 0% | 764 | $0.00 | |
| 4035F | 0% | 6,167 | $0.00 | |
| 1158F | 0% | 1,584 | $0.00 | |
| 1090F | 0% | 6,850 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,394 | $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% | 1,924 | $0.00 |
| 3288F | 0% | 6,399 | $0.00 | |
| 4013F | 0% | 597 | $0.00 | |
| 3077F | 0% | 95 | $0.00 | |
| 1100F | 0% | 573 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 143 | $0.00 |
| 3050F | 0% | 34 | $0.00 | |
| 2028F | 0% | 36 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 31 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 96 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 24 | $0.00 |
| 3048F | 0% | 2,322 | $0.00 | |
| 1125F | 0% | 6,380 | $0.00 | |
| 1170F | 0% | 6,677 | $0.00 | |
| 3079F | 0% | 2,808 | $0.00 | |
| 3049F | 0% | 385 | $0.00 | |
| 3074F | 0% | 17,748 | $0.00 | |
| 3008F | 0% | 18,186 | $0.00 | |
| 99406 | 0% | 442 | $0.00 | |
| 3075F | 0% | 3,061 | $0.00 | |
| 1126F | 0% | 16,848 | $0.00 | |
| 3011F | 0% | 3,018 | $0.00 | |
| 3017F | 0% | 1,544 | $0.00 | |
| 4000F | 0% | 254 | $0.00 | |
| 3044F | 0% | 794 | $0.00 | |
| 99385 | 0% | 20 | $0.00 | |
| 3014F | 0% | 258 | $0.00 | |
| 96127 | 0% | 860 | $0.00 | |
| 1034F | 0% | 353 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 304 | $0.00 |
| 99349 | 0% | 412 | $0.00 | |
| 96150 | 0% | 125 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 353 | $0.00 |
| 4037F | 0% | 16 | $0.00 | |
| 99441 | 0% | 109 | $0.00 | |
| 4010F | 0% | 180 | $0.00 | |
| 3061F | 0% | 38 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 28 | $0.00 |
| 99384 | 0% | 13 | $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 officialBENGOA, ROBERTO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Centro Medicos Unidos Del Oeste | San Juan, PR | $355K |
| Grupo Medico De Cayey | San Juan, PR | $26K |
| Alianza De Medicos Del Sureste | San Juan, PR | $19K |
| Consorcio Multisalud Del Oeste, INC. | San Juan, PR | $0.42 |
| Consorcio Multisalud Del Este, INC. | San Juan, PR | $0.11 |
| Grupo Medico De Orocovis | San Juan, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.