Managed care
Excelence Healthcare, C.S.P.
Excelence Healthcare, C.S.P. was paid $241.11 by Medicaid between Jan 2018 and May 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 74% of everything it billed.
33Billing provider infoEXCELENCE HEALTHCARE, C.S.P.
QUEBRADILLAS, PR 00678
QUEBRADILLAS, PR 00678
33aNPI1437389053assigned 07/16/2009
33bProvider typeExclusive Provider Organization
28Total paid$241.11
24GClaims390
24DCodes billed4
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Exclusive Provider Organization providers in Puerto Rico
Rank by total paid#15 of 19
Median peer was paid$250K
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 | 390 | $241.11 |
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 | 74% | 328 | 205 | $178.23 |
| 1157F | 13% | 17 | 16 | $31.44 | |
| 1158F | 13% | 17 | 16 | $31.44 | |
| 3017F | 0% | 28 | 24 | $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 officialTORRES, MIGUEL (PHYSICIAN)
| Provider | Location | Paid |
|---|---|---|
| Torres Primary Home Care | Laredo, TX | $10.17M |
| Modern Obgyn Care, PLLC. | Pembroke Pines, FL | $46K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.