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

RMC Orthopedic & Surgical, INC.

RMC Orthopedic & Surgical, INC. was paid $7.53M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is L8699, Prosthetic implant, not otherwise specified — 100% of everything it billed.

33Billing provider infoRMC ORTHOPEDIC & SURGICAL, INC.
GUAYNABO, PR 00969
33aNPI1568415834assigned 05/18/2006
28Total paid$7.53M
24GClaims4,534
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Prosthetic/Orthotic Supplier providers in Puerto Rico

Rank by total paid#6 of 12
Median peer was paid$2.24M
This provider vs. median3.4×

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.

Single-Code Concentration100% of spending on code L8699 with only 2 total codes billed. Highly concentrated billing profile.
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
2018533$930K
2019490$955K
2020479$727K
2021644$960K
2022644$1.01M
2023702$1.24M
2024incomplete1,042$1.70M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
L8699 Prosthetic implant, not otherwise specified 100% 4,402 3,486 $7.50M
L9900 Orthotic and prosthetic supply, accessory, and/or service component of another hcpcs "l" code <1% 132 65 $26K

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, NELSON (PRESIDENT)
Same official

Other billing entities under RODRIGUEZ, NELSON

Full network →
ProviderLocationPaid
Integrated Cardiovascular Services Group LLCSan German, PR$0.00

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