Clinic
Cossma INC
Cossma INC was paid $2.91M by Medicaid between Jan 2018 and Dec 2024, across 225 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoCOSSMA INC
CIDRA, PR 00739
CIDRA, PR 00739
33aNPI1437235793assigned 10/30/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$2.91M
24GClaims1,349,264
24DCodes billed225
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 53
Median peer was paid$44K
This provider vs. median67×
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 | 143,234 | $410K | |
| 2019 | 118,626 | $242K | |
| 2020 | 107,607 | $249K | |
| 2021 | 141,466 | $370K | |
| 2022 | 199,716 | $536K | |
| 2023 | 310,544 | $634K | |
| 2024incomplete | 328,071 | $470K |
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 | 15% | 172,499 | 135,737 | $440K |
| D1110 | Prophylaxis - adult | 9.7% | 10,336 | 8,772 | $281K |
| D1999 | 7.0% | 13,668 | 11,233 | $204K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.9% | 27,522 | 22,409 | $201K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.3% | 30,320 | 24,987 | $154K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.3% | 13,330 | 11,189 | $153K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 8,722 | 7,387 | $119K |
| D0272 | Bitewings - two radiographic images | 4.0% | 8,210 | 7,098 | $117K |
| 92002 | 3.6% | 2,765 | 2,275 | $105K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.6% | 2,121 | 1,505 | $75K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 4,364 | 3,858 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 3,300 | 3,046 | $61K |
213 more codes
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.0% | 1,489 | $60K |
| D0330 | Panoramic radiographic image | 1.8% | 1,945 | $54K |
| 92015 | Determination of refractive state | 1.8% | 3,455 | $53K |
| 97802 | 1.8% | 2,957 | $51K | |
| 99204 | Doctor's office visit, new patient (more involved) | 1.5% | 984 | $44K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 5,924 | $42K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 24,648 | $39K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 1,862 | $38K |
| D1120 | Dental cleaning, child | 1.2% | 2,071 | $36K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 4,469 | $35K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 2,647 | $28K |
| D2160 | <1% | 722 | $28K | |
| 99442 | <1% | 10,433 | $24K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,390 | $22K |
| D2140 | <1% | 814 | $21K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,007 | $20K |
| 96160 | <1% | 10,664 | $19K | |
| 97803 | <1% | 1,840 | $18K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,215 | $18K |
| 90686 | <1% | 10,390 | $18K | |
| 99443 | <1% | 2,084 | $16K | |
| 0001A | <1% | 857 | $16K | |
| 0002A | <1% | 521 | $16K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,000 | $14K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 313 | $13K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 293 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 466 | $11K |
| 99441 | <1% | 8,394 | $11K | |
| 0012A | <1% | 317 | $11K | |
| 90670 | <1% | 2,741 | $11K | |
| 0011A | <1% | 389 | $10K | |
| D2335 | <1% | 222 | $9K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 316 | $8K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 762 | $8K |
| D1351 | Sealant - per tooth | <1% | 430 | $6K |
| 97116 | <1% | 959 | $6K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 392 | $5K |
| 0004A | <1% | 133 | $5K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 98 | $5K |
| 0071A | <1% | 236 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 4,068 | $4K |
| D2330 | <1% | 134 | $3K | |
| 0072A | <1% | 205 | $3K | |
| 0124A | <1% | 77 | $3K | |
| 80061 | Lipid panel | <1% | 1,290 | $3K |
| D2940 | <1% | 170 | $3K | |
| D9996 | <1% | 211 | $3K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,895 | $3K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 1,042 | $3K |
| 80053 | Comprehensive metabolic panel | <1% | 1,530 | $3K |
| D2331 | <1% | 78 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,244 | $2K |
| 90649 | <1% | 1,768 | $2K | |
| 90671 | <1% | 89 | $2K | |
| 0064A | <1% | 44 | $2K | |
| D2332 | <1% | 50 | $2K | |
| D2161 | <1% | 40 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 649 | $2K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 143 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 42 | $2K |
| 97124 | <1% | 188 | $2K | |
| 94664 | <1% | 167 | $1K | |
| 0003A | <1% | 38 | $1K | |
| 90732 | <1% | 84 | $1K | |
| 59025 | Fetal non-stress test | <1% | 61 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 141 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 838 | $1K |
| S9083 | Global fee urgent care centers | <1% | 233 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 487 | $1K |
| 95115 | <1% | 286 | $993.36 | |
| 81000 | <1% | 1,631 | $940.06 | |
| 82045 | <1% | 254 | $907.84 | |
| D9995 | <1% | 69 | $888.00 | |
| 86703 | <1% | 616 | $855.87 | |
| 90716 | <1% | 1,100 | $803.06 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,199 | $717.30 |
| 90715 | <1% | 1,086 | $574.82 | |
| 86580 | <1% | 1,921 | $539.05 | |
| 0013A | <1% | 13 | $520.00 | |
| 90707 | <1% | 977 | $482.81 | |
| 87110 | <1% | 24 | $429.37 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,535 | $426.42 |
| 90734 | <1% | 1,287 | $409.86 | |
| 90633 | <1% | 1,566 | $387.37 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,538 | $337.20 |
| 94760 | <1% | 298 | $285.00 | |
| 3078F | <1% | 19,139 | $280.00 | |
| 96127 | <1% | 1,808 | $270.32 | |
| 90651 | <1% | 291 | $264.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,102 | $207.15 |
| 95117 | <1% | 546 | $202.89 | |
| 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% | 194 | $185.79 |
| 3074F | <1% | 16,334 | $150.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 99 | $131.23 |
| 86803 | <1% | 306 | $110.97 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 220 | $95.11 |
| 99349 | <1% | 70 | $91.90 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 338 | $85.22 |
| 90723 | <1% | 424 | $79.00 | |
| 3048F | <1% | 10,123 | $70.01 | |
| 3044F | <1% | 8,342 | $50.00 | |
| 3077F | <1% | 3,563 | $42.00 | |
| 86592 | <1% | 364 | $40.59 | |
| 3079F | <1% | 6,854 | $36.00 | |
| 90647 | <1% | 298 | $31.00 | |
| 87276 | <1% | 699 | $28.12 | |
| 1158F | <1% | 3,013 | $28.00 | |
| 82274 | <1% | 92 | $17.67 | |
| 99173 | <1% | 21,763 | $11.32 | |
| 3049F | <1% | 3,444 | $6.00 | |
| 90700 | <1% | 253 | $6.00 | |
| 90648 | <1% | 375 | $6.00 | |
| D1330 | <1% | 177 | $0.32 | |
| 1006F | <1% | 35 | $0.22 | |
| 4045F | <1% | 76 | $0.20 | |
| 91300 | <1% | 2,982 | $0.19 | |
| 1160F | <1% | 181,282 | $0.12 | |
| 1159F | <1% | 191,829 | $0.12 | |
| 3008F | <1% | 199,963 | $0.11 | |
| 1036F | <1% | 20,064 | $0.11 | |
| 4018F | <1% | 12 | $0.09 | |
| 4133F | <1% | 31 | $0.04 | |
| 4551F | <1% | 103 | $0.04 | |
| 91301 | <1% | 948 | $0.02 | |
| 3075F | 0% | 4,655 | $0.00 | |
| 3017F | 0% | 3,969 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 28 | $0.00 |
| 1125F | 0% | 9,500 | $0.00 | |
| 3014F | 0% | 578 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 74 | $0.00 |
| 82043 | 0% | 29 | $0.00 | |
| 90698 | 0% | 846 | $0.00 | |
| 1220F | 0% | 2,875 | $0.00 | |
| 1126F | 0% | 18,393 | $0.00 | |
| 3700F | 0% | 44 | $0.00 | |
| 3061F | 0% | 2,651 | $0.00 | |
| 1030F | 0% | 2,584 | $0.00 | |
| 3011F | 0% | 938 | $0.00 | |
| 3080F | 0% | 511 | $0.00 | |
| 87088 | 0% | 193 | $0.00 | |
| 4016F | 0% | 257 | $0.00 | |
| D1310 | 0% | 159 | $0.00 | |
| 1170F | 0% | 1,269 | $0.00 | |
| 84436 | 0% | 157 | $0.00 | |
| 99283 | Emergency room visit (moderate) | 0% | 193 | $0.00 |
| 3754F | 0% | 551 | $0.00 | |
| 1034F | 0% | 1,058 | $0.00 | |
| 1111F | 0% | 888 | $0.00 | |
| D1320 | 0% | 75 | $0.00 | |
| 3292F | 0% | 44 | $0.00 | |
| 4010F | 0% | 2,931 | $0.00 | |
| 4008F | 0% | 1,052 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 55 | $0.00 |
| 90744 | 0% | 446 | $0.00 | |
| 90620 | 0% | 522 | $0.00 | |
| 90696 | 0% | 234 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 264 | $0.00 |
| 86738 | 0% | 231 | $0.00 | |
| 99406 | 0% | 898 | $0.00 | |
| 90680 | 0% | 137 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 218 | $0.00 |
| 84479 | 0% | 162 | $0.00 | |
| 82607 | 0% | 56 | $0.00 | |
| 4000F | 0% | 204 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 118 | $0.00 |
| 1031F | 0% | 510 | $0.00 | |
| 90657 | 0% | 249 | $0.00 | |
| 4086F | 0% | 102 | $0.00 | |
| 3351F | 0% | 79 | $0.00 | |
| 85730 | 0% | 56 | $0.00 | |
| 3060F | 0% | 27 | $0.00 | |
| 86593 | 0% | 73 | $0.00 | |
| 1000F | 0% | 81 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| D0603 | 0% | 26 | $0.00 | |
| 90619 | 0% | 57 | $0.00 | |
| 4015F | 0% | 13 | $0.00 | |
| 81001 | 0% | 19 | $0.00 | |
| 3066F | 0% | 14 | $0.00 | |
| 1032F | 0% | 7,850 | $0.00 | |
| 1033F | 0% | 85,035 | $0.00 | |
| 3725F | 0% | 32,317 | $0.00 | |
| 3050F | 0% | 1,196 | $0.00 | |
| 87400 | 0% | 127 | $0.00 | |
| 85610 | 0% | 55 | $0.00 | |
| 1039F | 0% | 94 | $0.00 | |
| 0521F | 0% | 4,040 | $0.00 | |
| 4019F | 0% | 44 | $0.00 | |
| 4013F | 0% | 2,524 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 76 | $0.00 |
| 4004F | 0% | 675 | $0.00 | |
| 3342F | 0% | 92 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 435 | $0.00 |
| 1175F | 0% | 1,244 | $0.00 | |
| 2028F | 0% | 127 | $0.00 | |
| 90681 | 0% | 404 | $0.00 | |
| 0518F | 0% | 56 | $0.00 | |
| 4001F | 0% | 101 | $0.00 | |
| 90621 | 0% | 62 | $0.00 | |
| 3046F | 0% | 12 | $0.00 | |
| 91308 | 0% | 12 | $0.00 | |
| 84439 | 0% | 55 | $0.00 | |
| 91312 | 0% | 101 | $0.00 | |
| 72100 | 0% | 13 | $0.00 | |
| 3045F | 0% | 12 | $0.00 | |
| 3051F | 0% | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 3274F | 0% | 14 | $0.00 | |
| 99347 | 0% | 14 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 72 | $0.00 |
| 3095F | 0% | 12 | $0.00 | |
| 82570 | 0% | 13 | $0.00 | |
| 90750 | 0% | 18 | $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 officialMIRANDA, ISOLINA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Cossma, INC. | Humacao, PR | $574K |
| Cossma, INC. | San Lorenzo, PR | $58K |
| Cossma, INC. | Las Piedras, RI | $26K |
| Cossma, INC. | Las Piedras, PR | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.