Managed care
North Medical Health, INC.
North Medical Health, INC. was paid $58K by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 96160, — 68% of everything it billed.
33Billing provider infoNORTH MEDICAL HEALTH, INC.
MANATI, PR 00674
MANATI, PR 00674
33aNPI1487912473assigned 04/26/2012
33bProvider typeHealth Maintenance Organization
28Total paid$58K
24GClaims110,278
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#13 of 37
Median peer was paid$25K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2018 | 16,997 | $3K | |
| 2019 | 15,206 | $12K | |
| 2020 | 13,805 | $3K | |
| 2021 | 16,310 | $11K | |
| 2022 | 16,738 | $4K | |
| 2023 | 17,702 | $21K | |
| 2024incomplete | 13,520 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 68% | 1,705 | 1,633 | $40K | |
| 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% | 17,699 | 15,337 | $6K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 9.4% | 256 | 247 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.8% | 14,497 | 12,411 | $4K |
| 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% | 3,533 | 2,869 | $2K |
| 99441 | <1% | 6,411 | 5,607 | $367.34 | |
| 99442 | <1% | 1,140 | 984 | $287.47 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 257 | 250 | $182.81 |
| 90686 | <1% | 14 | 14 | $56.00 | |
| 2028F | 0% | 1,763 | 1,638 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | 12 | $0.00 |
| 4035F | 0% | 3,468 | 3,279 | $0.00 |
41 more codes
| 3050F | 0% | 99 | $0.00 | |
| 1160F | 0% | 5,253 | $0.00 | |
| 3725F | 0% | 948 | $0.00 | |
| 3095F | 0% | 90 | $0.00 | |
| 3078F | 0% | 4,853 | $0.00 | |
| 1159F | 0% | 5,491 | $0.00 | |
| 1158F | 0% | 4,474 | $0.00 | |
| 0521F | 0% | 2,272 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 722 | $0.00 |
| 1175F | 0% | 53 | $0.00 | |
| 3077F | 0% | 239 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 41 | $0.00 |
| 99201 | 0% | 46 | $0.00 | |
| 1090F | 0% | 277 | $0.00 | |
| 1124F | 0% | 12 | $0.00 | |
| 99223 | Prolong inpt eval add15 m | 0% | 12 | $0.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 12 | $0.00 |
| 1157F | 0% | 4,406 | $0.00 | |
| 1125F | 0% | 4,242 | $0.00 | |
| 88150 | 0% | 203 | $0.00 | |
| 1123F | 0% | 1,825 | $0.00 | |
| 1170F | 0% | 4,406 | $0.00 | |
| 3017F | 0% | 1,039 | $0.00 | |
| 3048F | 0% | 1,352 | $0.00 | |
| 3074F | 0% | 4,877 | $0.00 | |
| 3008F | 0% | 6,842 | $0.00 | |
| 3061F | 0% | 497 | $0.00 | |
| 3044F | 0% | 443 | $0.00 | |
| 1126F | 0% | 1,684 | $0.00 | |
| 3014F | 0% | 599 | $0.00 | |
| 1022F | 0% | 39 | $0.00 | |
| 1030F | 0% | 97 | $0.00 | |
| 3011F | 0% | 51 | $0.00 | |
| 4010F | 0% | 422 | $0.00 | |
| 3079F | 0% | 595 | $0.00 | |
| 2001F | 0% | 108 | $0.00 | |
| 3049F | 0% | 116 | $0.00 | |
| 3075F | 0% | 333 | $0.00 | |
| 3080F | 0% | 31 | $0.00 | |
| 2010F | 0% | 409 | $0.00 | |
| 99443 | 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 officialDELGADO, VICTOR (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Vip NPS LLC | Hialeah, FL | $141.92 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.