Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $879K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
SAN JUAN, PR 00936
Next to other Plastic Surgery within the Head & Neck (Otolaryngology) 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 | 3,775 | $96K | |
| 2019 | 3,010 | $76K | |
| 2020 | 1,183 | $55K | |
| 2021 | 2,073 | $117K | |
| 2022 | 2,380 | $130K | |
| 2023 | 2,208 | $187K | |
| 2024incomplete | 2,444 | $218K |
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 | 49% | 10,621 | 7,979 | $434K |
| 31575 | 33% | 3,728 | 2,778 | $286K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.8% | 1,557 | 1,347 | $78K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 298 | 82 | $27K |
| 31579 | 2.8% | 279 | 161 | $25K | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.4% | 111 | 79 | $13K |
| 92588 | <1% | 96 | 76 | $5K | |
| 99221 | <1% | 56 | 54 | $4K | |
| 92557 | <1% | 98 | 80 | $3K | |
| 31231 | <1% | 16 | 14 | $3K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 30 | 24 | $993.54 |
| 92568 | <1% | 81 | 57 | $865.12 |
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 | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.