Clinic
Morovis Community Health Center, INC.
Morovis Community Health Center, INC. was paid $49K by Medicaid between Apr 2019 and Oct 2024, across 40 billing codes. Its largest line is D1999, — 32% of everything it billed.
33Billing provider infoMOROVIS COMMUNITY HEALTH CENTER, INC.
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1457892044assigned 03/15/2017
33bProvider typeCommunity Health Clinic/Center
28Total paid$49K
24GClaims13,763
24DCodes billed40
24AFirst – last monthApr 2019 – Oct 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#8 of 20
Median peer was paid$15K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2019 | 501 | $1K | |
| 2020 | 1,865 | $13K | |
| 2021 | 2,033 | $8K | |
| 2022 | 2,893 | $17K | |
| 2023 | 2,850 | $5K | |
| 2024incomplete | 3,621 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1999 | 32% | 1,256 | 1,062 | $16K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 3,369 | 2,809 | $15K |
| D1110 | Prophylaxis - adult | 6.6% | 141 | 141 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.6% | 152 | 152 | $3K |
| 99441 | 4.7% | 664 | 538 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.8% | 208 | 198 | $2K |
| 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 | 3.3% | 114 | 111 | $2K |
| D0272 | Bitewings - two radiographic images | 2.0% | 83 | 83 | $1K |
| D0330 | Panoramic radiographic image | 1.9% | 47 | 47 | $921.80 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 1.4% | 47 | 46 | $709.32 |
| 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 | 1.4% | 27 | 27 | $667.56 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 116 | 106 | $623.70 |
28 more codes
| 99401 | 1.2% | 244 | $608.78 | |
| 99442 | 1.2% | 77 | $594.43 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 346 | $413.11 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $300.00 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 15 | $222.45 |
| D1330 | <1% | 72 | $120.00 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 13 | $94.20 |
| 94760 | <1% | 12 | $70.20 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 89 | $58.85 |
| 94664 | <1% | 12 | $58.56 | |
| 90658 | <1% | 50 | $40.00 | |
| 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 | <1% | 14 | $40.00 |
| 1160F | 0% | 459 | $0.00 | |
| 3078F | 0% | 1,046 | $0.00 | |
| 1159F | 0% | 480 | $0.00 | |
| 1158F | 0% | 445 | $0.00 | |
| 4120F | 0% | 12 | $0.00 | |
| 1170F | 0% | 581 | $0.00 | |
| 1000F | 0% | 435 | $0.00 | |
| 3074F | 0% | 974 | $0.00 | |
| 3008F | 0% | 541 | $0.00 | |
| 1157F | 0% | 72 | $0.00 | |
| 1126F | 0% | 622 | $0.00 | |
| 1036F | 0% | 414 | $0.00 | |
| 3079F | 0% | 26 | $0.00 | |
| 96127 | 0% | 134 | $0.00 | |
| 1125F | 0% | 323 | $0.00 | |
| 99443 | 0% | 19 | $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 officialDIAZ, LIRIO (EXECUTIVE DIRECTOR)
Parent organizationMOROVIS COMMUNITY HEALTH CENTER INC.
| Provider | Location | Paid |
|---|---|---|
| Morovis Community Health Center, INC. | Morovis, PR | $870K |
| Morovis Community Health Center, INC. | Morovis, PR | $314K |
| Morovis Community Health Center INC | Toa Baja, PR | $75K |
| Morovis Community Health Center, INC. | Toa Baja, PR | $27K |
| Morovis Community Health Center INC | Vega Alta, PR | $25K |
| Morovis Community Health Center, INC. | Vega Alta, PR | $3K |
| Morovis Community Health Center, INC. | Morovis, PR | $714.42 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.