Corporacion Medica De Juana Diaz, INC.
Corporacion Medica De Juana Diaz, INC. was paid $28K by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 89% of everything it billed.
33Billing provider infoCORPORACION MEDICA DE JUANA DIAZ, INC.
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1497890321assigned 02/20/2007
33bProvider typeSpecialist
28Total paid$28K
24GClaims133,404
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#155 of 316
Median peer was paid$26K
This provider vs. median1.1×
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 | 17,958 | $7K | |
| 2019 | 17,418 | $327.90 | |
| 2020 | 20,286 | $338.10 | |
| 2021 | 31,827 | $268.04 | |
| 2022 | 10,036 | $118.43 | |
| 2023 | 13,546 | $20K | |
| 2024incomplete | 22,333 | $310.62 |
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 | 89% | 52,476 | 43,276 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.5% | 2,697 | 2,032 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.5% | 81 | 81 | $407.00 |
| 90670 | <1% | 957 | 947 | $206.39 | |
| 99441 | <1% | 6,091 | 5,009 | $137.41 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,347 | 964 | $127.98 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 963 | 796 | $126.00 |
| 99050 | <1% | 1,397 | 1,207 | $95.00 | |
| 92558 | <1% | 1,762 | 1,734 | $88.30 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 5,947 | 4,869 | $84.20 |
| 96160 | <1% | 2,087 | 1,876 | $77.83 | |
| 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 | <1% | 2,036 | 1,782 | $77.57 |
77 more codes
| 96127 | <1% | 2,425 | $51.48 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 719 | $12.00 |
| 99177 | <1% | 1,530 | $10.00 | |
| 85013 | <1% | 177 | $7.00 | |
| 90716 | <1% | 549 | $6.00 | |
| 90656 | <1% | 629 | $6.00 | |
| 90707 | <1% | 559 | $6.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 943 | $5.00 |
| 90688 | 0% | 734 | $0.00 | |
| 90680 | 0% | 321 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 160 | $0.00 |
| 1170F | 0% | 4,154 | $0.00 | |
| 90651 | 0% | 508 | $0.00 | |
| 3074F | 0% | 4,182 | $0.00 | |
| 90647 | 0% | 418 | $0.00 | |
| 1157F | 0% | 3,046 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 891 | $0.00 |
| 1125F | 0% | 3,819 | $0.00 | |
| 81000 | 0% | 383 | $0.00 | |
| 90620 | 0% | 390 | $0.00 | |
| 1126F | 0% | 514 | $0.00 | |
| 92551 | 0% | 270 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 114 | $0.00 |
| 90686 | 0% | 1,718 | $0.00 | |
| 99174 | 0% | 116 | $0.00 | |
| 3049F | 0% | 138 | $0.00 | |
| 84478 | 0% | 67 | $0.00 | |
| 3017F | 0% | 75 | $0.00 | |
| 3048F | 0% | 62 | $0.00 | |
| 90723 | 0% | 56 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 71 | $0.00 |
| 86580 | 0% | 226 | $0.00 | |
| 82270 | 0% | 28 | $0.00 | |
| 90696 | 0% | 67 | $0.00 | |
| G0245 | Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education | 0% | 13 | $0.00 |
| 3044F | 0% | 98 | $0.00 | |
| 85018 | 0% | 177 | $0.00 | |
| 96150 | 0% | 72 | $0.00 | |
| 90698 | 0% | 81 | $0.00 | |
| 3079F | 0% | 70 | $0.00 | |
| 3008F | 0% | 62 | $0.00 | |
| 90677 | 0% | 54 | $0.00 | |
| 86701 | 0% | 12 | $0.00 | |
| 96156 | 0% | 17 | $0.00 | |
| 3061F | 0% | 15 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 28 | $0.00 |
| 1160F | 0% | 4,135 | $0.00 | |
| 90715 | 0% | 470 | $0.00 | |
| 3077F | 0% | 79 | $0.00 | |
| 1159F | 0% | 4,444 | $0.00 | |
| 90649 | 0% | 316 | $0.00 | |
| 90734 | 0% | 631 | $0.00 | |
| 80061 | Lipid panel | 0% | 517 | $0.00 |
| 1158F | 0% | 3,111 | $0.00 | |
| 90633 | 0% | 775 | $0.00 | |
| 3078F | 0% | 4,137 | $0.00 | |
| 90685 | 0% | 131 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 672 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 47 | $0.00 |
| 0521F | 0% | 1,414 | $0.00 | |
| 99401 | 0% | 1,686 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 27 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 39 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 827 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 224 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 76 | $0.00 |
| 83718 | 0% | 67 | $0.00 | |
| 99408 | 0% | 89 | $0.00 | |
| 90621 | 0% | 43 | $0.00 | |
| 90648 | 0% | 19 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 101 | $0.00 |
| 90700 | 0% | 14 | $0.00 | |
| 96152 | 0% | 139 | $0.00 | |
| 83655 | 0% | 117 | $0.00 | |
| 99173 | 0% | 320 | $0.00 | |
| 82465 | 0% | 67 | $0.00 | |
| 2028F | 0% | 71 | $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 officialMONTERO, RICARDO (ADMINISTRATOR)