Clinic
Costa Salud Community Health Centers, INC
Costa Salud Community Health Centers, INC was paid $70K by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoCOSTA SALUD COMMUNITY HEALTH CENTERS, INC
AGUADA, PR 00602
AGUADA, PR 00602
33aNPI1568876753assigned 06/16/2014
33bProvider typeCommunity Health Clinic/Center
28Total paid$70K
24GClaims208,490
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 20
Median peer was paid$15K
This provider vs. median4.7×
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 | 13,859 | $3K | |
| 2019 | 9,927 | $6K | |
| 2020 | 7,795 | $5K | |
| 2021 | 16,185 | $10K | |
| 2022 | 41,351 | $15K | |
| 2023 | 73,593 | $18K | |
| 2024incomplete | 45,780 | $13K |
Box 24 · Service lines
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 | 54% | 37,514 | 31,231 | $38K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 35% | 1,138 | 1,121 | $25K |
| 97803 | 3.0% | 92 | 59 | $2K | |
| 99441 | 2.5% | 9,224 | 8,752 | $2K | |
| 97802 | 2.3% | 62 | 38 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,654 | 3,928 | $567.79 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 835 | 770 | $449.12 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 444 | 428 | $446.30 |
| 96160 | <1% | 105 | 95 | $360.00 | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 142 | 142 | $253.42 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 423 | 377 | $226.71 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 820 | 710 | $51.50 |
52 more codes
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 1,050 | $43.72 |
| 96127 | <1% | 7,472 | $11.68 | |
| 3725F | 0% | 7,801 | $0.00 | |
| 99408 | 0% | 10,453 | $0.00 | |
| 1159F | 0% | 14,195 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 91 | $0.00 |
| 1160F | 0% | 10,359 | $0.00 | |
| 3078F | 0% | 9,896 | $0.00 | |
| 3050F | 0% | 505 | $0.00 | |
| 0521F | 0% | 9,163 | $0.00 | |
| 1039F | 0% | 1,053 | $0.00 | |
| 99173 | 0% | 497 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 403 | $0.00 |
| 3077F | 0% | 686 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 80 | $0.00 |
| S0390 | Routine foot care; removal and/or trimming of corns, calluses and/or nails and preventive maintenance in specific medical conditions (e.g., diabetes), per visit | 0% | 139 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 226 | $0.00 |
| 2028F | 0% | 189 | $0.00 | |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 138 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 27 | $0.00 |
| 99442 | 0% | 129 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 3008F | 0% | 16,828 | $0.00 | |
| 1000F | 0% | 3,205 | $0.00 | |
| 3079F | 0% | 3,338 | $0.00 | |
| 1125F | 0% | 2,578 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 7,502 | $0.00 |
| 1126F | 0% | 9,107 | $0.00 | |
| 3074F | 0% | 9,062 | $0.00 | |
| 3075F | 0% | 3,149 | $0.00 | |
| 1170F | 0% | 13,181 | $0.00 | |
| 3061F | 0% | 1,017 | $0.00 | |
| 1036F | 0% | 3,163 | $0.00 | |
| 3044F | 0% | 879 | $0.00 | |
| 3048F | 0% | 863 | $0.00 | |
| 3049F | 0% | 666 | $0.00 | |
| 99368 | 0% | 188 | $0.00 | |
| 99050 | 0% | 2,346 | $0.00 | |
| 1136F | 0% | 122 | $0.00 | |
| 3017F | 0% | 266 | $0.00 | |
| 3080F | 0% | 391 | $0.00 | |
| G8410 | Footwear evaluation performed and documented | 0% | 151 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 47 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 21 | $0.00 |
| 3060F | 0% | 27 | $0.00 | |
| 3351F | 0% | 54 | $0.00 | |
| 3014F | 0% | 80 | $0.00 | |
| 3072F | 0% | 14 | $0.00 | |
| 1030F | 0% | 159 | $0.00 | |
| 1111F | 0% | 31 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 14 | $0.00 |
| 93000 | 0% | 23 | $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 officialQUINONES, LAURA (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Costa Salud CHC Radiology | Rincon, PR | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.