Managed care
Red De Medicos Asociados Del Sur, INC
Red De Medicos Asociados Del Sur, INC was paid $287K by Medicaid between Jan 2018 and Dec 2024, across 100 billing codes. Its largest line is 96160, — 24% of everything it billed.
33Billing provider infoRED DE MEDICOS ASOCIADOS DEL SUR, INC
YAUCO, PR 00698
YAUCO, PR 00698
33aNPI1578653937assigned 10/13/2006
33bProvider typePoint of Service
28Total paid$287K
24GClaims731,276
24DCodes billed100
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Point of Service providers in Puerto Rico
Rank by total paid#2 of 12
Median peer was paid$26K
This provider vs. median11×
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 | 79,449 | $2K | |
| 2019 | 99,280 | $15K | |
| 2020 | 54,992 | $19K | |
| 2021 | 78,323 | $49K | |
| 2022 | 85,481 | $61K | |
| 2023 | 137,665 | $93K | |
| 2024incomplete | 196,086 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96160 | 24% | 9,819 | 6,750 | $70K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 173,926 | 131,435 | $64K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 21% | 24,550 | 18,847 | $60K |
| 90461 | 7.2% | 1,599 | 1,020 | $21K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.9% | 3,410 | 2,147 | $20K |
| 99441 | 4.7% | 50,032 | 35,195 | $14K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 82,072 | 58,211 | $13K |
| 90651 | 2.8% | 155 | 88 | $8K | |
| 99442 | 1.1% | 7,540 | 5,991 | $3K | |
| 0012A | <1% | 141 | 125 | $3K | |
| 0011A | <1% | 161 | 142 | $2K | |
| 90658 | <1% | 777 | 601 | $2K |
88 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 9,447 | $1K |
| 90700 | <1% | 367 | $1K | |
| 90715 | <1% | 53 | $1K | |
| 0064A | <1% | 60 | $1K | |
| 99201 | <1% | 888 | $925.00 | |
| 90713 | <1% | 69 | $861.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 2,071 | $605.03 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,269 | $555.02 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 5,588 | $436.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 67 | $293.10 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 474 | $230.41 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,423 | $176.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 3,814 | $152.04 |
| 99401 | <1% | 14,276 | $118.64 | |
| 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% | 3,878 | $111.30 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,312 | $49.04 |
| 99446 | <1% | 73 | $43.66 | |
| 96127 | <1% | 6,050 | $35.87 | |
| 99173 | <1% | 3,024 | $23.20 | |
| 86580 | <1% | 1,816 | $10.17 | |
| 90657 | <1% | 35 | $6.00 | |
| 99408 | <1% | 3,037 | $0.05 | |
| 4035F | <1% | 3,959 | $0.01 | |
| 1159F | <1% | 33,460 | $0.01 | |
| 1170F | <1% | 25,145 | $0.01 | |
| 1126F | <1% | 21,950 | $0.01 | |
| 3008F | <1% | 41,307 | $0.01 | |
| 3078F | 0% | 47,083 | $0.00 | |
| 1160F | 0% | 29,603 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 915 | $0.00 |
| D0191 | 0% | 2,510 | $0.00 | |
| 3725F | 0% | 1,019 | $0.00 | |
| 1158F | 0% | 8,511 | $0.00 | |
| 83655 | 0% | 567 | $0.00 | |
| 1033F | 0% | 667 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 325 | $0.00 |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 92 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 40 | $0.00 |
| 0521F | 0% | 56 | $0.00 | |
| 80061 | Lipid panel | 0% | 343 | $0.00 |
| 3077F | 0% | 319 | $0.00 | |
| 3050F | 0% | 62 | $0.00 | |
| 90648 | 0% | 14 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 149 | $0.00 |
| 99382 | 0% | 43 | $0.00 | |
| 90649 | 0% | 20 | $0.00 | |
| 90734 | 0% | 119 | $0.00 | |
| 4013F | 0% | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 388 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 37 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 409 | $0.00 |
| 90670 | 0% | 17 | $0.00 | |
| 99421 | 0% | 20 | $0.00 | |
| 3061F | 0% | 1,516 | $0.00 | |
| 3074F | 0% | 47,918 | $0.00 | |
| 3079F | 0% | 3,509 | $0.00 | |
| 4010F | 0% | 1,190 | $0.00 | |
| 1157F | 0% | 9,311 | $0.00 | |
| 3075F | 0% | 788 | $0.00 | |
| 1125F | 0% | 10,214 | $0.00 | |
| 92551 | 0% | 2,574 | $0.00 | |
| 3044F | 0% | 1,331 | $0.00 | |
| 3048F | 0% | 938 | $0.00 | |
| 2001F | 0% | 1,289 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 2,168 | $0.00 |
| 1111F | 0% | 492 | $0.00 | |
| 3017F | 0% | 676 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 977 | $0.00 |
| 1005F | 0% | 1,742 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 291 | $0.00 |
| 99443 | 0% | 1,216 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 1,376 | $0.00 |
| 3037F | 0% | 311 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 209 | $0.00 |
| 2010F | 0% | 669 | $0.00 | |
| 3014F | 0% | 60 | $0.00 | |
| 1034F | 0% | 128 | $0.00 | |
| 2000F | 0% | 489 | $0.00 | |
| 99368 | 0% | 538 | $0.00 | |
| 3049F | 0% | 322 | $0.00 | |
| 3080F | 0% | 31 | $0.00 | |
| 99383 | 0% | 73 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 389 | $0.00 |
| 99402 | 0% | 45 | $0.00 | |
| 87590 | 0% | 12 | $0.00 | |
| 90744 | 0% | 21 | $0.00 | |
| 87110 | 0% | 12 | $0.00 | |
| 94760 | 0% | 17 | $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 officialJUSINO, ISMAEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Red De Medicos Asociados Del Sur, INC. | Yauco, PR | $158K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.