Hospital
Quality Health Services of Puerto Rico INC
Quality Health Services of Puerto Rico INC was paid $1.04M by Medicaid between Jan 2018 and Nov 2022, across 49 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 24% of everything it billed.
33Billing provider infoQUALITY HEALTH SERVICES OF PUERTO RICO INC
COTO LAUREL, PR 00780
COTO LAUREL, PR 00780
33aNPI1568476539assigned 07/28/2006
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.04M
24GClaims51,679
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#18 of 58
Median peer was paid$486K
This provider vs. median2.1×
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 | 10,612 | $188K | |
| 2019 | 10,895 | $192K | |
| 2020 | 8,772 | $191K | |
| 2021 | 11,738 | $245K | |
| 2022 | 9,662 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 24% | 3,982 | 3,758 | $254K |
| 70450 | Computed tomography, head or brain; without contrast material | 10% | 3,301 | 3,023 | $107K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 8.2% | 3,625 | 3,517 | $86K |
| 76641 | 6.8% | 3,143 | 3,048 | $71K | |
| 77066 | Tomosynthesis, mammo | 6.1% | 2,204 | 2,125 | $63K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 5.7% | 2,222 | 2,115 | $59K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 5.5% | 869 | 815 | $57K |
| 71045 | Radiologic examination, chest; single view | 5.1% | 9,703 | 6,700 | $53K |
| 76830 | Ultrasound, transvaginal | 4.6% | 2,054 | 2,000 | $48K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 3.4% | 1,603 | 1,546 | $36K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.9% | 915 | 821 | $30K |
| 76770 | 2.6% | 1,160 | 1,098 | $27K |
37 more codes
| 71046 | Radiologic examination, chest; 2 views | 2.4% | 3,536 | $26K |
| 72100 | 1.8% | 2,488 | $19K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.6% | 319 | $16K |
| 76536 | 1.3% | 728 | $13K | |
| 77065 | Tomosynthesis, mammo | 1.2% | 511 | $12K |
| 72040 | 1.1% | 1,508 | $11K | |
| 73560 | <1% | 1,659 | $9K | |
| 74018 | <1% | 1,463 | $8K | |
| 73030 | <1% | 1,244 | $8K | |
| 73620 | <1% | 1,049 | $5K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 86 | $4K |
| 73600 | <1% | 474 | $3K | |
| 73100 | <1% | 441 | $2K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 90 | $2K |
| 74241 | <1% | 76 | $2K | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 33 | $1K |
| 73120 | <1% | 195 | $1K | |
| 78227 | <1% | 71 | $836.40 | |
| 72070 | <1% | 104 | $789.97 | |
| 73630 | <1% | 124 | $762.52 | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 15 | $668.66 |
| 73070 | <1% | 127 | $651.95 | |
| 73502 | <1% | 72 | $525.76 | |
| 74019 | <1% | 72 | $521.19 | |
| 71250 | <1% | 15 | $496.31 | |
| 72190 | <1% | 51 | $397.27 | |
| 78264 | <1% | 12 | $334.08 | |
| 73590 | <1% | 64 | $326.52 | |
| 70260 | <1% | 27 | $297.83 | |
| 73130 | <1% | 47 | $288.09 | |
| 73610 | <1% | 41 | $262.31 | |
| 70210 | <1% | 24 | $122.64 | |
| 73565 | <1% | 24 | $112.10 | |
| 73562 | <1% | 15 | $95.94 | |
| 73090 | <1% | 13 | $73.29 | |
| 73552 | <1% | 12 | $57.60 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 0% | 68 | $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 officialBENETTI, PEDRO (SENIOR EXECUTIVE & VP)