Inspira Behavioral Care Corp.
Inspira Behavioral Care Corp. was paid $505K by Medicaid between Nov 2018 and Dec 2024, across 24 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 30% of everything it billed.
GUAYAMA, PR 00784
Next to other Adult Mental Health Clinic/Center 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 | 2,394 | $11K | |
| 2019 | 25,786 | $91K | |
| 2020 | 21,639 | $45K | |
| 2021 | 25,017 | $23K | |
| 2022 | 26,900 | $54K | |
| 2023 | 33,949 | $166K | |
| 2024incomplete | 27,686 | $115K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 30% | 17,706 | 15,511 | $150K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 19% | 17,548 | 15,502 | $98K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 16,434 | 15,152 | $74K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 9.0% | 1,417 | 1,220 | $45K |
| 99442 | 7.5% | 11,838 | 10,774 | $38K | |
| 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 | 4.8% | 6,813 | 6,251 | $24K |
| 98967 | 4.6% | 9,692 | 9,022 | $23K | |
| 96127 | 1.9% | 31,168 | 27,297 | $10K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.8% | 1,226 | 1,108 | $9K |
| 99441 | 1.4% | 23,401 | 20,835 | $7K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.2% | 1,377 | 1,315 | $6K |
| 98968 | 1.1% | 14,448 | 13,472 | $6K |
12 more codes
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 241 | $4K |
| 99334 | <1% | 74 | $4K | |
| 99443 | <1% | 846 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 177 | $3K |
| 98966 | <1% | 3,129 | $592.03 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 63 | $70.00 |
| 99348 | <1% | 18 | $70.00 | |
| 90837 | Psychotherapy session, about an hour | <1% | 24 | $35.00 |
| 99368 | 0% | 828 | $0.00 | |
| 99349 | 0% | 132 | $0.00 | |
| 99347 | 0% | 583 | $0.00 | |
| 99411 | 0% | 4,188 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Inspira Behavioral Care Corp. | Caguas, PR | $1.70M |
| Inspira Behavioral Care Corp. | Yauco, PR | $1.07M |
| Inspira Behavioral Care Corp. | Humacao, PR | $1.03M |
| Inspira Behavioral Care Corp. | Carolina, PR | $781K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $741K |
| Inspira Behavioral Care Corp. | Cidra, PR | $705K |
| Inspira Behavioral Care Corp. | Coamo, PR | $552K |
| Inspira Behavioral Care Corp. | Rio Grande, PR | $398K |
| Inspira Behavioral Care Corp. | Caguas, PR | $320K |
| Inspira Behavioral Care Corp. | San Juan, PR | $114K |
| Inspira Behavioral Care Corp. | San Juan, PR | $14K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $11K |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $853.00 |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $747.45 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.