Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Concilio De Salud Integral De Loiza, INC.

Concilio De Salud Integral De Loiza, INC. was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 214 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 9.6% of everything it billed.

33Billing provider infoCONCILIO DE SALUD INTEGRAL DE LOIZA, INC.
LOIZA, PR 00772
33aNPI1558664102assigned 12/20/2010
28Total paid$2.22M
24GClaims627,834
24DCodes billed214
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Puerto Rico

Rank by total paid#2 of 22
Median peer was paid$463K
This provider vs. median4.8×

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$100K$200K$300K2018201920202021202220232024
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
201853,402$49K
201931,745$86K
202024,636$89K
202150,668$264K
202297,349$314K
2023162,046$1.04M
2024incomplete207,988$372K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
77067 Screening mammography, bilateral, including computer-aided detection 9.6% 3,508 2,922 $213K
90396 9.5% 206 130 $211K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.7% 125,466 105,659 $170K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 6.0% 17,902 13,489 $133K
90472 Immunization administration, each additional vaccine (list separately) 4.9% 10,608 7,581 $110K
90670 4.1% 3,280 2,610 $90K
76641 3.9% 1,348 1,116 $86K
76700 Ultrasound, abdominal, real time with image documentation; complete 3.8% 1,231 1,116 $85K
90649 3.5% 4,653 3,353 $77K
76830 Ultrasound, transvaginal 2.8% 1,020 917 $62K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2.7% 1,495 448 $61K
97802 2.7% 2,228 1,895 $59K
202 more codes
D1110 Prophylaxis - adult 2.5% 2,229 $56K
90834 Psychotherapy session, about 45 minutes 2.3% 5,971 $51K
D1999 2.1% 3,775 $46K
90734 2.0% 2,850 $45K
76770 2.0% 643 $44K
97803 2.0% 2,392 $43K
90677 1.6% 1,323 $35K
90621 1.5% 2,392 $34K
76536 1.3% 506 $30K
D0120 Dental checkup, returning patient 1.3% 2,449 $30K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.3% 823 $28K
96160 <1% 5,557 $20K
71046 Radiologic examination, chest; 2 views <1% 1,001 $19K
72100 <1% 690 $19K
73560 <1% 835 $19K
99442 <1% 10,244 $18K
90707 <1% 2,984 $16K
99441 <1% 9,409 $15K
77066 Tomosynthesis, mammo <1% 137 $14K
D0272 Bitewings - two radiographic images <1% 1,082 $13K
99443 <1% 1,087 $13K
90715 <1% 2,410 $13K
99214 Doctor's office visit, returning patient (more involved) <1% 14,039 $12K
0001A <1% 734 $11K
90698 <1% 823 $11K
90680 <1% 793 $10K
90697 <1% 870 $10K
90716 <1% 2,577 $9K
80061 Lipid panel <1% 1,326 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 196 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,850 $8K
D1208 Topical application of fluoride, excluding varnish <1% 638 $8K
90633 <1% 2,817 $7K
90791 Psychiatric diagnostic evaluation <1% 805 $7K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,571 $7K
84443 Thyroid stimulating hormone (TSH) <1% 699 $7K
80053 Comprehensive metabolic panel <1% 1,125 $7K
90656 <1% 2,750 $6K
0011A <1% 314 $6K
90723 <1% 1,134 $5K
90696 <1% 966 $5K
83036 Hemoglobin; glycosylated (A1C) <1% 993 $5K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 393 $5K
87276 <1% 586 $4K
87275 <1% 599 $4K
99401 <1% 6,048 $4K
90461 <1% 2,328 $4K
0002A <1% 168 $4K
81000 <1% 1,606 $4K
90658 <1% 1,075 $3K
90647 <1% 621 $3K
D0330 Panoramic radiographic image <1% 88 $2K
90837 Psychotherapy session, about an hour <1% 1,187 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 217 $2K
90620 <1% 478 $2K
96127 <1% 5,558 $2K
0124A <1% 75 $2K
73030 <1% 163 $2K
D7140 Extraction, erupted tooth or exposed root <1% 53 $2K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 136 $1K
86738 <1% 172 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 4,153 $1K
D1120 Dental cleaning, child <1% 137 $1K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 19 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 136 $1K
0071A <1% 62 $1K
99203 Doctor's office visit, new patient (routine) <1% 1,197 $1K
71045 Radiologic examination, chest; single view <1% 165 $1K
0031A <1% 31 $1K
72040 <1% 42 $1K
D0150 Comprehensive oral evaluation - new or established patient <1% 93 $1K
90700 <1% 707 $1K
80074 <1% 97 $993.60
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 61 $954.48
90648 <1% 1,339 $840.25
87400 <1% 88 $772.50
91307 <1% 73 $760.00
D2150 Silver amalgam - two surfaces, primary or permanent <1% 15 $704.14
0012A <1% 25 $593.56
73620 <1% 55 $590.01
D2140 <1% 14 $533.88
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,662 $515.00
99368 <1% 112 $500.00
84153 <1% 79 $492.83
82274 <1% 115 $456.43
86703 <1% 54 $419.70
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,588 $370.44
86592 <1% 244 $365.66
87536 <1% 19 $340.40
82043 <1% 168 $337.34
80048 Basic metabolic panel (calcium, ionized) <1% 151 $311.42
87088 <1% 118 $305.20
90655 <1% 150 $291.60
73562 <1% 14 $282.22
G0421 Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour <1% 326 $279.45
82570 <1% 171 $270.94
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 906 $260.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 57 $248.56
84436 <1% 122 $228.78
84479 <1% 102 $214.88
86360 <1% 19 $187.92
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 5,144 $170.03
90792 Psychiatric diagnostic evaluation with medical services <1% 106 $160.55
84439 <1% 49 $156.54
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes <1% 431 $144.25
99215 Doctor's office visit, returning patient (complex) <1% 622 $141.60
D0220 Intraoral - periapical first radiographic image <1% 24 $116.28
90732 <1% 153 $112.00
85730 <1% 40 $90.15
G0420 Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour <1% 15 $77.20
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory <1% 70 $70.68
88141 <1% 23 $69.12
82044 <1% 58 $68.51
82728 <1% 16 $68.15
85610 <1% 40 $64.35
86480 <1% 13 $61.98
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 158 $59.46
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 324 $56.00
90681 <1% 457 $54.00
83655 <1% 16 $52.76
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 29 $50.00
90702 <1% 47 $46.00
99402 <1% 2,220 $43.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 1,763 $30.01
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 992 $30.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 179 $25.31
93000 <1% 626 $20.25
80305 <1% 70 $10.47
91301 <1% 755 $0.04
90619 <1% 1,198 $0.02
1000F 0% 20,416 $0.00
3079F 0% 7,052 $0.00
3061F 0% 760 $0.00
1126F 0% 33,389 $0.00
1111F 0% 2,104 $0.00
3351F 0% 2,979 $0.00
3049F 0% 470 $0.00
3074F 0% 38,780 $0.00
3008F 0% 47,043 $0.00
1036F 0% 12,329 $0.00
1125F 0% 7,515 $0.00
3048F 0% 2,440 $0.00
3075F 0% 1,231 $0.00
1220F 0% 1,532 $0.00
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 0% 106 $0.00
2000F 0% 548 $0.00
3044F 0% 4,403 $0.00
1034F 0% 605 $0.00
3014F 0% 549 $0.00
3017F 0% 782 $0.00
3352F 0% 723 $0.00
4037F 0% 722 $0.00
2010F 0% 1,717 $0.00
0509F 0% 61 $0.00
4010F 0% 425 $0.00
80050 General health panel 0% 245 $0.00
99384 0% 102 $0.00
96150 0% 285 $0.00
3080F 0% 199 $0.00
2001F 0% 562 $0.00
99383 0% 67 $0.00
88142 0% 28 $0.00
97804 0% 69 $0.00
90744 0% 38 $0.00
3052F 0% 13 $0.00
91303 0% 30 $0.00
99050 0% 59 $0.00
73564 0% 20 $0.00
3353F 0% 56 $0.00
1170F 0% 31 $0.00
G0008 Administration of influenza virus vaccine 0% 13 $0.00
1160F 0% 33,610 $0.00
3078F 0% 34,685 $0.00
0521F 0% 1,016 $0.00
4040F 0% 145 $0.00
1159F 0% 35,645 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 847 $0.00
90623 0% 83 $0.00
4013F 0% 2,144 $0.00
3077F 0% 920 $0.00
99409 0% 147 $0.00
91300 0% 607 $0.00
96152 0% 213 $0.00
3015F 0% 333 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 64 $0.00
1033F 0% 97 $0.00
99173 0% 278 $0.00
3050F 0% 150 $0.00
1039F 0% 537 $0.00
1090F 0% 237 $0.00
90836 0% 271 $0.00
91312 0% 75 $0.00
90832 Psychotherapy session, about 30 minutes 0% 56 $0.00
99348 0% 142 $0.00
90853 Group psychotherapy (other than of a multiple-family group) 0% 148 $0.00
72110 0% 32 $0.00
99347 0% 54 $0.00
3288F 0% 49 $0.00
2028F 0% 49 $0.00
2014F 0% 30 $0.00
74018 0% 27 $0.00
73610 0% 16 $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 officialRODRIGUEZ, CESAR (EXECUTIVE DIRECTOR)
Parent organizationCONCILIO DE SALUD INTEGRAL DE LOIZA INC
Same official

Other billing entities under RODRIGUEZ, CESAR

Full network →
ProviderLocationPaid
Best Health Providers, INCLa Puente, CA$10K
Ricardo Di Sarli MD a Medical CorporationPomona, CA$3K
Cigarroa Interventional -Asc LLCLaredo, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.