Clinic
Caribbean Health Alliance PSC
Caribbean Health Alliance PSC was paid $921K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCARIBBEAN HEALTH ALLIANCE PSC
GUAYAMA, PR 00784
GUAYAMA, PR 00784
33aNPI1437422714assigned 02/16/2012
33bProvider typeOncology Clinic/Center
28Total paid$921K
24GClaims18,266
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Oncology Clinic/Center providers in Puerto Rico
Rank by total paid#5 of 21
Median peer was paid$255K
This provider vs. median3.6×
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 | 2,776 | $65K | |
| 2019 | 2,689 | $72K | |
| 2020 | 2,954 | $139K | |
| 2021 | 3,567 | $183K | |
| 2022 | 2,398 | $156K | |
| 2023 | 1,934 | $161K | |
| 2024incomplete | 1,948 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 40% | 5,972 | 5,117 | $366K |
| Q0084 | Chemotherapy administration by infusion technique only, per visit | 29% | 3,617 | 1,589 | $264K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 14% | 1,502 | 771 | $125K |
| 96367 | 9.6% | 2,308 | 937 | $88K | |
| 96415 | 2.6% | 363 | 206 | $24K | |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour | 1.6% | 700 | 343 | $15K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.2% | 226 | 84 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 196 | 191 | $10K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 139 | 128 | $10K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 778 | 390 | $4K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,045 | 453 | $2K |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 1,420 | 667 | $1K |
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 officialGONZALEZ, SAMUEL (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| Homestead Cancer Institute LLC | Homestead, FL | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.