Clinic
Anchor Health Management Corp
Anchor Health Management Corp was paid $152K by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 27% of everything it billed.
33Billing provider infoANCHOR HEALTH MANAGEMENT CORP
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1457652307assigned 11/09/2010
33bProvider typeHealth Service Clinic/Center
28Total paid$152K
24GClaims188,389
24DCodes billed103
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Puerto Rico
Rank by total paid#12 of 66
Median peer was paid$16K
This provider vs. median9.8×
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 | 1,610 | $56.36 | |
| 2019 | 4,253 | $145.72 | |
| 2020 | 6,534 | $10K | |
| 2021 | 21,618 | $67K | |
| 2022 | 30,092 | $38K | |
| 2023 | 40,271 | $31K | |
| 2024incomplete | 84,011 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 202 | 169 | $42K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 26% | 3,351 | 3,055 | $40K |
| 99223 | Prolong inpt eval add15 m | 14% | 222 | 191 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 23,618 | 16,435 | $16K |
| 99442 | 5.6% | 13,246 | 8,426 | $9K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.0% | 226 | 175 | $8K |
| 99441 | 3.2% | 11,968 | 9,105 | $5K | |
| 96160 | 1.8% | 1,098 | 768 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 5,544 | 4,814 | $2K |
| 93000 | 1.2% | 1,977 | 1,579 | $2K | |
| 99242 | <1% | 303 | 243 | $1K | |
| 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% | 42 | 30 | $817.36 |
91 more codes
| 99221 | <1% | 12 | $801.46 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 3,035 | $652.71 |
| 90837 | Psychotherapy session, about an hour | <1% | 431 | $362.61 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,789 | $222.60 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,129 | $177.57 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 3,194 | $85.92 |
| 94060 | <1% | 29 | $84.92 | |
| 99368 | <1% | 1,160 | $75.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 347 | $25.04 |
| 99173 | <1% | 4,374 | $5.29 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,222 | $0.08 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 855 | $0.06 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 590 | $0.02 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 80 | $0.02 |
| 3008F | 0% | 10,707 | $0.00 | |
| 1022F | 0% | 299 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 511 | $0.00 |
| 1030F | 0% | 4,638 | $0.00 | |
| 4010F | 0% | 445 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,338 | $0.00 |
| 1157F | 0% | 3,810 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 119 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,484 | $0.00 |
| 3075F | 0% | 607 | $0.00 | |
| 3079F | 0% | 1,595 | $0.00 | |
| 3074F | 0% | 5,693 | $0.00 | |
| 97802 | 0% | 1,318 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 3,343 | $0.00 |
| 1126F | 0% | 3,882 | $0.00 | |
| 2010F | 0% | 5,450 | $0.00 | |
| 1036F | 0% | 2,738 | $0.00 | |
| 96127 | 0% | 2,920 | $0.00 | |
| 92551 | 0% | 219 | $0.00 | |
| 1170F | 0% | 5,500 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 51 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 1,045 | $0.00 |
| 96161 | 0% | 376 | $0.00 | |
| 86580 | 0% | 287 | $0.00 | |
| G9806 | Patients who received cervical cytology or an hpv test | 0% | 920 | $0.00 |
| 87490 | 0% | 219 | $0.00 | |
| 4450F | 0% | 408 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 357 | $0.00 |
| 1125F | 0% | 630 | $0.00 | |
| 57511 | 0% | 13 | $0.00 | |
| 99386 | 0% | 192 | $0.00 | |
| 96156 | 0% | 25 | $0.00 | |
| 86701 | 0% | 324 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 180 | $0.00 |
| 99385 | 0% | 37 | $0.00 | |
| 4305F | 0% | 111 | $0.00 | |
| 86780 | 0% | 323 | $0.00 | |
| 87590 | 0% | 220 | $0.00 | |
| 99349 | 0% | 319 | $0.00 | |
| 1111F | 0% | 204 | $0.00 | |
| 4037F | 0% | 141 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 14 | $0.00 |
| 3014F | 0% | 145 | $0.00 | |
| 1000F | 0% | 57 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 13 | $0.00 |
| 94760 | 0% | 23 | $0.00 | |
| 99443 | 0% | 17 | $0.00 | |
| 96112 | 0% | 63 | $0.00 | |
| 1055F | 0% | 107 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 13 | $0.00 |
| 99409 | 0% | 351 | $0.00 | |
| 3725F | 0% | 4,216 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 3,718 | $0.00 |
| 3078F | 0% | 4,931 | $0.00 | |
| 1158F | 0% | 3,823 | $0.00 | |
| 1160F | 0% | 1,261 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 521 | $0.00 |
| 4035F | 0% | 4,350 | $0.00 | |
| 1159F | 0% | 3,766 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,660 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 54 | $0.00 |
| 99401 | 0% | 2,808 | $0.00 | |
| 2014F | 0% | 1,744 | $0.00 | |
| 98960 | 0% | 588 | $0.00 | |
| 80061 | Lipid panel | 0% | 1,046 | $0.00 |
| 99408 | 0% | 1,752 | $0.00 | |
| 3015F | 0% | 983 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 209 | $0.00 |
| 3077F | 0% | 325 | $0.00 | |
| 4040F | 0% | 150 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 498 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 37 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 572 | $0.00 |
| 0521F | 0% | 430 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 57 | $0.00 |
| 99397 | 0% | 32 | $0.00 | |
| 4004F | 0% | 13 | $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 officialZAYAS-TORO, ILIA (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| CDT GMSP, INC | Bayamon, PR | $458K |
| CDT GMSP INC | Bayamon, PR | $242K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.