Physician
Primary Medical Center INC
Primary Medical Center INC was paid $193K by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPRIMARY MEDICAL CENTER INC
PONCE, PR 00717
PONCE, PR 00717
33aNPI1417927898assigned 01/26/2006
33bProvider typeFamily Medicine Physician
28Total paid$193K
24GClaims204,190
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#14 of 160
Median peer was paid$1K
This provider vs. median170×
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 | 28,125 | $80K | |
| 2019 | 27,484 | $4K | |
| 2020 | 17,406 | $7K | |
| 2021 | 23,623 | $23K | |
| 2022 | 24,255 | $31K | |
| 2023 | 41,832 | $47K | |
| 2024incomplete | 41,465 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 132,785 | 103,036 | $85K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 31% | 1,934 | 1,853 | $59K |
| 99336 | 6.4% | 266 | 119 | $12K | |
| 99348 | 5.5% | 413 | 296 | $11K | |
| 99347 | 4.8% | 465 | 238 | $9K | |
| 90688 | 3.3% | 359 | 351 | $6K | |
| 90686 | 2.9% | 293 | 277 | $6K | |
| 99441 | <1% | 17,283 | 14,492 | $1K | |
| 99442 | <1% | 1,571 | 1,383 | $1K | |
| 96160 | <1% | 921 | 756 | $551.73 | |
| 93000 | <1% | 457 | 433 | $464.43 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 116 | 113 | $430.72 |
46 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 381 | $399.56 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 111 | $315.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 428 | $180.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 867 | $158.76 |
| 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 | <1% | 2,914 | $118.98 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 38 | $38.34 |
| 96127 | <1% | 3,063 | $21.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 153 | $19.18 |
| 3074F | 0% | 11,938 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 881 | $0.00 |
| 3079F | 0% | 2,768 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,674 | $0.00 |
| 3075F | 0% | 2,076 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 13 | $0.00 |
| 1030F | 0% | 42 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 36 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 493 | $0.00 |
| 99383 | 0% | 92 | $0.00 | |
| 3080F | 0% | 228 | $0.00 | |
| 1170F | 0% | 46 | $0.00 | |
| 99384 | 0% | 89 | $0.00 | |
| 86580 | 0% | 225 | $0.00 | |
| 99368 | 0% | 119 | $0.00 | |
| 1111F | 0% | 30 | $0.00 | |
| 99402 | 0% | 13 | $0.00 | |
| 93784 | 0% | 1,952 | $0.00 | |
| 3078F | 0% | 12,741 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 291 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 414 | $0.00 |
| 3077F | 0% | 1,839 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 14 | $0.00 |
| 3725F | 0% | 323 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 151 | $0.00 |
| 83655 | 0% | 127 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 62 | $0.00 |
| 99221 | 0% | 90 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 60 | $0.00 |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 0% | 12 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 71 | $0.00 |
| 1158F | 0% | 16 | $0.00 | |
| 99408 | 0% | 291 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 17 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 95 | $0.00 |
| 99401 | 0% | 16 | $0.00 | |
| 99499 | 0% | 14 | $0.00 | |
| 99382 | 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 officialCHEVERE, SERGIO (PRESIDENTE)