Metro Pavia Healthcare Centers INC
Metro Pavia Healthcare Centers INC was paid $370K by Medicaid between Jan 2018 and Sep 2024, across 9 billing codes. Its largest line is 99283, emergency room visit (moderate) — 75% of everything it billed.
PONCE, PR 00717
Next to other Emergency Care 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 | 1,307 | $20K | |
| 2019 | 2,262 | $55K | |
| 2020 | 96 | $2K | |
| 2021 | 1,585 | $33K | |
| 2022 | 3,983 | $68K | |
| 2023 | 3,635 | $117K | |
| 2024incomplete | 1,327 | $74K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 75% | 9,373 | 6,116 | $278K |
| 99051 | 24% | 2,400 | 2,214 | $88K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,163 | 1,282 | $3K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 18 | 18 | $270.00 |
| 72100 | <1% | 34 | 34 | $259.50 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | 12 | $75.25 |
| 81001 | 0% | 41 | 38 | $0.00 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 125 | 96 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 29 | 26 | $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 |
|---|---|---|
| Pediatric Associates, LLC | Bristol, CT | $3.66M |
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Toa Baja, INC. | Toa Baja, PR | $209K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Metro Pavia Healthcare Center | Bayamon, PR | $75K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $66K |
| Metro Toa Baja INC. | Toa Baja, PR | $37K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.