Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Aguada Medical Center INC.

Aguada Medical Center INC. was paid $211K by Medicaid between Jan 2018 and Oct 2024, across 47 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 23% of everything it billed.

33Billing provider infoAGUADA MEDICAL CENTER INC.
AGUADA, PR 00602
33aNPI1598057374assigned 05/11/2011
28Total paid$211K
24GClaims9,654
24DCodes billed47
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in Puerto Rico

Rank by total paid#7 of 15
Median peer was paid$105K
This provider vs. median2.0×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20186,101$154K
2019493$2K
2020162$8K
20212,115$30K
2022130$4K
2023251$5K
2024incomplete402$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74176 Computed tomography, abdomen and pelvis; without contrast material 23% 557 487 $49K
76641 8.2% 372 249 $17K
0011A 7.0% 405 359 $15K
76700 Ultrasound, abdominal, real time with image documentation; complete 6.9% 291 225 $14K
70450 Computed tomography, head or brain; without contrast material 6.5% 241 217 $14K
76830 Ultrasound, transvaginal 5.6% 214 181 $12K
77067 Screening mammography, bilateral, including computer-aided detection 5.6% 664 325 $12K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.0% 112 90 $11K
0002A 3.3% 214 195 $7K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.2% 133 130 $7K
77066 Tomosynthesis, mammo 3.0% 213 107 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.7% 894 776 $6K
35 more codes
0012A 2.2% 224 $5K
0001A 1.9% 148 $4K
72100 1.6% 365 $3K
71046 Radiologic examination, chest; 2 views 1.6% 524 $3K
76536 1.1% 56 $2K
72040 1.0% 253 $2K
73560 <1% 223 $2K
71045 Radiologic examination, chest; single view <1% 303 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 180 $2K
73030 <1% 223 $2K
74019 <1% 233 $2K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 31 $1K
74018 <1% 236 $1K
99203 Doctor's office visit, new patient (routine) <1% 29 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 20 $1K
73600 <1% 183 $1K
99051 <1% 13 $1K
70250 <1% 134 $1K
0003A <1% 14 $560.00
73620 <1% 67 $533.59
73630 <1% 56 $378.55
73120 <1% 53 $335.90
73070 <1% 38 $298.91
73100 <1% 30 $269.99
77080 <1% 12 $244.74
73140 <1% 26 $166.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 14 $109.50
90688 <1% 82 $37.54
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 0% 310 $0.00
91300 0% 503 $0.00
90649 0% 90 $0.00
90734 0% 12 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 0% 16 $0.00
90733 0% 15 $0.00
91301 0% 628 $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 officialORTEGA, HIRAM (DIRECTOR MEDICO)
Same official

Other billing entities under ORTEGA, HIRAM

Full network →
ProviderLocationPaid
Aguada Medical Center INC.Aguada, PR$991K
Advanced Gastroenterology Center, PSCAguada, PR$416K
Aguada Medical Center, INC.Aguada, PR$96K
Prime Medica PSCAguada, PR$1K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.