Puerto Rico Case Manegement Corp
Puerto Rico Case Manegement Corp was paid $172K by Medicaid between Sep 2019 and Sep 2024, across 5 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 51% of everything it billed.
SAN JUAN, PR 00921
Next to other Primary Care Clinic/Center providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 94 | $0.00 | |
| 2020 | 2,971 | $23K | |
| 2021 | 4,574 | $77K | |
| 2022 | 4,811 | $57K | |
| 2023 | 2,405 | $13K | |
| 2024incomplete | 3,325 | $3K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 51% | 11,372 | 9,885 | $87K |
| 96160 | 39% | 3,869 | 3,790 | $67K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 8.4% | 1,184 | 1,169 | $15K |
| 93000 | 1.6% | 240 | 217 | $3K | |
| 99441 | <1% | 1,515 | 1,317 | $811.75 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Gobierno Municipal Gurabo | Gurabo, PR | $185K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.