Managed care
Grupo De Medicina Familiar De Corozal, INC.
Grupo De Medicina Familiar De Corozal, INC. was paid $440.00 by Medicaid between Nov 2018 and May 2023, across 2 billing codes. Its largest line is 96160, — 100% of everything it billed.
33Billing provider infoGRUPO DE MEDICINA FAMILIAR DE COROZAL, INC.
COROZAL, PR 00783
COROZAL, PR 00783
33aNPI1447651534assigned 09/09/2014
33bProvider typeHealth Maintenance Organization
28Total paid$440.00
24GClaims106
24DCodes billed2
24AFirst – last monthNov 2018 – May 2023
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#31 of 37
Median peer was paid$25K
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 | 76 | $0.00 | |
| 2023 | 30 | $440.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 100% | 15 | 15 | $440.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 91 | 87 | $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 officialORTIZ CALDERO, MIGUEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Plaza Del Carmen Medical Services, INC. | Corozal, PR | $21K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.