Managed care
Samba Bras Medical, P.S.C
Samba Bras Medical, P.S.C was paid $474.00 by Medicaid between Jan 2018 and Jun 2018, across 9 billing codes. Its largest line is 1158F, — 47% of everything it billed.
33Billing provider infoSAMBA BRAS MEDICAL, P.S.C
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1588988216assigned 03/24/2010
33bProvider typeHealth Maintenance Organization
28Total paid$474.00
24GClaims828
24DCodes billed9
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#29 of 37
Median peer was paid$25K
This provider vs. median0.0×
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 | 828 | $474.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 1158F | 47% | 104 | 89 | $224.00 | |
| 3074F | 27% | 44 | 40 | $130.00 | |
| 3078F | 25% | 52 | 46 | $120.00 | |
| 1126F | 0% | 94 | 82 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 131 | 113 | $0.00 |
| 3008F | 0% | 110 | 94 | $0.00 | |
| 1170F | 0% | 86 | 74 | $0.00 | |
| 1160F | 0% | 104 | 89 | $0.00 | |
| 1159F | 0% | 103 | 88 | $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 officialABOU EL HOSSEN DUARTE, JAMIL (PRESIDENTE)