Hospital Espanol Auxilio Mutuo De Puerto Rico, INC.
Hospital Espanol Auxilio Mutuo De Puerto Rico, INC. was paid $151K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoHOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
SAN JUAN, PR 00917
SAN JUAN, PR 00917
33aNPI1487947214assigned 05/26/2011
33bProvider typeSpecialist
28Total paid$151K
24GClaims4,672
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#85 of 316
Median peer was paid$26K
This provider vs. median5.9×
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 | 831 | $12K | |
| 2019 | 851 | $16K | |
| 2020 | 394 | $8K | |
| 2021 | 210 | $1K | |
| 2022 | 381 | $7K | |
| 2023 | 1,075 | $55K | |
| 2024incomplete | 930 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 2,888 | 2,224 | $87K |
| 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 | 37% | 756 | 609 | $56K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.6% | 336 | 310 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 524 | 499 | $4K |
| 99443 | <1% | 66 | 60 | $517.28 | |
| 99441 | <1% | 16 | 15 | $64.94 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 45 | 39 | $51.11 |
| 90785 | <1% | 41 | 40 | $10.88 |
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 officialMATTA, JORGE (ADMINISTRATOR)
Parent organizationGRUPO CIRUGIAS HIGADO Y TRASPLANTES AUXILIO
| Provider | Location | Paid |
|---|---|---|
| Hospital Espanol Auxilio Mutuo De Puerto Rico, INC. | San Juan, PR | $111K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.