Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PR › Caguas › NPI 1518175322

Grupo Fisiatrico Villa Carmen, CSP

Grupo Fisiatrico Villa Carmen, CSP was paid $487K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 97124, — 26% of everything it billed.

33Billing provider infoGRUPO FISIATRICO VILLA CARMEN, CSP
CAGUAS, PR 00725
33aNPI1518175322assigned 05/18/2007
33bProvider typeSpecialist
28Total paid$487K
24GClaims29,615
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in Puerto Rico

Rank by total paid#47 of 316
Median peer was paid$26K
This provider vs. median19×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,367$60K
20195,760$75K
20201,302$14K
20212,613$13K
20223,782$64K
20233,874$84K
2024incomplete7,917$177K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97124 26% 7,139 1,593 $127K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 25% 7,049 1,579 $122K
97035 20% 7,160 1,597 $96K
97032 18% 7,082 1,591 $87K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.3% 958 752 $40K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 127 103 $11K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 84 68 $2K
97161 <1% 16 15 $845.44

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 officialCAMACHO, LIMARY (OWNER)