Clinic
Municipio De Isabela
Municipio De Isabela was paid $793K by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99051, — 19% of everything it billed.
33Billing provider infoMUNICIPIO DE ISABELA
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1477696805assigned 02/15/2007
33bProvider typeUrgent Care Clinic/Center
28Total paid$793K
24GClaims73,172
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in Puerto Rico
Rank by total paid#2 of 16
Median peer was paid$72K
This provider vs. median11×
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 | 12,957 | $97K | |
| 2019 | 10,937 | $59K | |
| 2020 | 5,420 | $37K | |
| 2021 | 13,415 | $222K | |
| 2022 | 8,289 | $97K | |
| 2023 | 8,597 | $174K | |
| 2024incomplete | 13,557 | $107K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 19% | 3,384 | 2,997 | $154K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16% | 16,680 | 14,051 | $130K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13% | 9,639 | 7,993 | $101K |
| 0002A | 9.5% | 2,298 | 2,061 | $76K | |
| 0001A | 7.9% | 2,503 | 2,179 | $63K | |
| 0003A | 4.6% | 947 | 946 | $36K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 4.1% | 341 | 286 | $33K |
| 90651 | 2.9% | 3,826 | 3,225 | $23K | |
| 0072A | 1.9% | 375 | 375 | $15K | |
| 90670 | 1.8% | 2,534 | 2,363 | $15K | |
| 0071A | 1.8% | 399 | 398 | $15K | |
| 90734 | 1.4% | 3,027 | 2,495 | $11K |
42 more codes
| 90620 | 1.4% | 1,936 | $11K | |
| 76830 | Ultrasound, transvaginal | 1.3% | 310 | $10K |
| 90716 | 1.1% | 2,407 | $9K | |
| 72100 | 1.1% | 633 | $9K | |
| 90715 | <1% | 2,105 | $8K | |
| 90697 | <1% | 345 | $8K | |
| 90686 | <1% | 642 | $7K | |
| 90473 | <1% | 1,078 | $7K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 319 | $7K |
| 90707 | <1% | 2,159 | $5K | |
| 73560 | <1% | 579 | $5K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 387 | $4K |
| 71045 | Radiologic examination, chest; single view | <1% | 519 | $4K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 133 | $3K |
| 90698 | <1% | 1,443 | $3K | |
| 0124A | <1% | 99 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 45 | $3K |
| 0004A | <1% | 59 | $2K | |
| 90474 | <1% | 458 | $2K | |
| 90633 | <1% | 2,305 | $2K | |
| 72040 | <1% | 154 | $2K | |
| 90677 | <1% | 971 | $1K | |
| 74018 | <1% | 208 | $1K | |
| 90696 | <1% | 657 | $1K | |
| 90756 | <1% | 52 | $1K | |
| 90648 | <1% | 835 | $898.30 | |
| 90688 | <1% | 307 | $751.19 | |
| 90700 | <1% | 732 | $699.50 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 25 | $581.96 |
| 90621 | <1% | 254 | $531.00 | |
| 76536 | <1% | 30 | $332.82 | |
| 90658 | <1% | 2,949 | $177.26 | |
| 90744 | <1% | 817 | $1.12 | |
| 90681 | <1% | 418 | $0.44 | |
| 90723 | <1% | 229 | $0.24 | |
| 90680 | <1% | 131 | $0.18 | |
| 90714 | <1% | 40 | $0.01 | |
| 90647 | <1% | 187 | $0.01 | |
| 90713 | 0% | 157 | $0.00 | |
| 90655 | 0% | 12 | $0.00 | |
| 91312 | 0% | 63 | $0.00 | |
| 93000 | 0% | 30 | $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 officialVAN DERDYS, GISSELLE (ADMINISTRADOR)
Parent organizationMUNICIPIO DE ISABELA