Clinic
Policlinica General De Coamo
Policlinica General De Coamo was paid $7K by Medicaid between Jan 2018 and Feb 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 59% of everything it billed.
33Billing provider infoPOLICLINICA GENERAL DE COAMO
COAMO, PR 00769
COAMO, PR 00769
33aNPI1437454907assigned 01/14/2011
33bProvider typeClinic/Center
28Total paid$7K
24GClaims53,133
24DCodes billed27
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#78 of 117
Median peer was paid$38K
This provider vs. median0.2×
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 | 8,805 | $5K | |
| 2019 | 7,659 | $272.00 | |
| 2020 | 12,039 | $897.06 | |
| 2021 | 12,915 | $248.80 | |
| 2022 | 11,660 | $446.08 | |
| 2023 | 55 | $55.75 |
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 | 59% | 21,309 | 17,160 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 1,761 | 1,551 | $720.00 |
| 99441 | 8.0% | 10,632 | 8,909 | $588.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 1,369 | 1,148 | $560.00 |
| 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 | 6.4% | 9,486 | 7,883 | $469.92 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 983 | 881 | $280.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 3.0% | 80 | 80 | $224.00 |
| 99442 | 1.4% | 1,188 | 1,101 | $106.98 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | <1% | 3,082 | 2,833 | $56.05 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 327 | 282 | $40.00 |
| 96127 | <1% | 156 | 122 | $3.90 | |
| 1159F | 0% | 104 | 101 | $0.00 |
15 more codes
| 90837 | Psychotherapy session, about an hour | 0% | 65 | $0.00 |
| 1160F | 0% | 105 | $0.00 | |
| 3078F | 0% | 175 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 25 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 15 | $0.00 |
| 1170F | 0% | 428 | $0.00 | |
| 3048F | 0% | 39 | $0.00 | |
| 3075F | 0% | 14 | $0.00 | |
| 3074F | 0% | 226 | $0.00 | |
| 3008F | 0% | 220 | $0.00 | |
| 99381 | 0% | 14 | $0.00 | |
| 1125F | 0% | 1,222 | $0.00 | |
| 1126F | 0% | 67 | $0.00 | |
| 99443 | 0% | 25 | $0.00 | |
| 3079F | 0% | 16 | $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 officialMORENO, ANIBAL (DIRECTOR MEDICO)