Clinic
Dorado Community Health INC
Dorado Community Health INC was paid $298K by Medicaid between Feb 2018 and Sep 2024, across 41 billing codes. Its largest line is 99051, — 43% of everything it billed.
33Billing provider infoDORADO COMMUNITY HEALTH INC
DORADO, PR 00646
DORADO, PR 00646
33aNPI1538105382assigned 06/21/2006
33bProvider typeEmergency Care Clinic/Center
28Total paid$298K
24GClaims24,172
24DCodes billed41
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#20 of 55
Median peer was paid$175K
This provider vs. median1.7×
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 | 286 | $2K | |
| 2019 | 136 | $954.66 | |
| 2020 | 233 | $6K | |
| 2021 | 9,620 | $68K | |
| 2022 | 3,850 | $43K | |
| 2023 | 5,020 | $108K | |
| 2024incomplete | 5,027 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 43% | 1,941 | 1,579 | $128K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 14% | 4,362 | 3,537 | $42K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 10.0% | 2,664 | 2,180 | $30K |
| 90649 | 3.6% | 1,255 | 1,009 | $11K | |
| 0012A | 3.0% | 1,397 | 1,176 | $9K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.8% | 1,051 | 974 | $8K |
| 0011A | 2.7% | 1,412 | 1,223 | $8K | |
| 0071A | 2.4% | 188 | 188 | $7K | |
| 90734 | 2.1% | 676 | 580 | $6K | |
| 0072A | 2.1% | 158 | 158 | $6K | |
| 90697 | 2.0% | 269 | 179 | $6K | |
| 90688 | 2.0% | 400 | 325 | $6K |
29 more codes
| 0013A | 1.9% | 158 | $6K | |
| 0003A | 1.5% | 129 | $5K | |
| 90715 | 1.4% | 471 | $4K | |
| 91320 | 1.2% | 29 | $4K | |
| 90671 | <1% | 131 | $2K | |
| 90707 | <1% | 638 | $2K | |
| 0002A | <1% | 254 | $2K | |
| 90716 | <1% | 619 | $1K | |
| 90670 | <1% | 426 | $1K | |
| 91307 | <1% | 389 | $1K | |
| 90480 | <1% | 55 | $1K | |
| 0001A | <1% | 187 | $680.44 | |
| 90621 | <1% | 29 | $458.88 | |
| 90634 | <1% | 245 | $315.60 | |
| 90696 | <1% | 147 | $277.86 | |
| 90662 | <1% | 35 | $160.08 | |
| 90700 | <1% | 149 | $112.80 | |
| 90713 | <1% | 61 | $90.00 | |
| 90647 | <1% | 164 | $76.31 | |
| 90744 | <1% | 78 | $73.34 | |
| 90633 | <1% | 107 | $13.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 34 | $4.00 |
| 91300 | 0% | 737 | $0.00 | |
| 91301 | 0% | 2,831 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 12 | $0.00 |
| 90686 | 0% | 114 | $0.00 | |
| 90677 | 0% | 113 | $0.00 | |
| 90622 | 0% | 35 | $0.00 | |
| 90619 | 0% | 22 | $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 officialGONZALEZ BERMUDEZ, LUIS (DIRECTOR MEDICO)
| Provider | Location | Paid |
|---|---|---|
| Vega Alta Community Health | Vega Alta, PR | $918K |
| Vega Alta Community Health | Vega Alta, PR | $383K |
| Dorado Community Health INC | Dorado, PR | $162K |
| First Medical Center INC | Comerio, PR | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.