Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $40K by Medicaid between Mar 2018 and Sep 2023, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
CAROLINA, PR 00984
Next to other Nephrology Physician providers in Puerto Rico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 212 | $4K | |
| 2019 | 259 | $7K | |
| 2020 | 135 | $5K | |
| 2021 | 71 | $4K | |
| 2022 | 158 | $10K | |
| 2023 | 129 | $9K |
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 | 70% | 665 | 621 | $28K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 196 | 113 | $7K |
| 99245 | 7.1% | 53 | 49 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.8% | 38 | 24 | $1K |
| 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% | 12 | 12 | $903.60 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.77M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.