Physician
Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $1.18M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 99245, — 23% of everything it billed.
33Billing provider infoRECINTO DE CIENCIAS MEDICAS
SAN JUAN, PR 00929
SAN JUAN, PR 00929
33aNPI1467524967assigned 11/14/2006
33bProvider typeNephrology Physician
28Total paid$1.18M
24GClaims22,661
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nephrology Physician providers in Puerto Rico
Rank by total paid#1 of 81
Median peer was paid$66K
This provider vs. median18×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TROCHE, MYRIAM controls 20+ related entities in our dataset. Read more
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 | 4,016 | $248K | |
| 2019 | 3,281 | $186K | |
| 2020 | 3,549 | $88K | |
| 2021 | 3,554 | $132K | |
| 2022 | 2,598 | $78K | |
| 2023 | 4,147 | $331K | |
| 2024incomplete | 1,516 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99245 | 23% | 8,224 | 7,351 | $272K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 23% | 2,677 | 2,315 | $267K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 22% | 2,480 | 2,160 | $258K |
| 99223 | Prolong inpt eval add15 m | 12% | 2,703 | 2,369 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 978 | 661 | $75K |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.8% | 3,581 | 3,152 | $69K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.9% | 619 | 555 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 532 | 370 | $31K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 824 | 669 | $6K |
| 99241 | <1% | 14 | 14 | $483.50 | |
| 93000 | <1% | 29 | 29 | $435.00 |
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 officialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
Parent organizationRECINTO DE CIENCIAS MEDICAS-CAROLINA
| Provider | Location | Paid |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.