Clinic
Southern Hospital Service INC
Southern Hospital Service INC was paid $216K by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 31% of everything it billed.
33Billing provider infoSOUTHERN HOSPITAL SERVICE INC
JUANA DIAZ, PR 00795
JUANA DIAZ, PR 00795
33aNPI1598884744assigned 03/28/2007
33bProvider typeClinic/Center
28Total paid$216K
24GClaims149,281
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#31 of 117
Median peer was paid$38K
This provider vs. median5.8×
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 | 17,036 | $41K | |
| 2019 | 14,474 | $20K | |
| 2020 | 11,879 | $21K | |
| 2021 | 15,864 | $47K | |
| 2022 | 22,782 | $41K | |
| 2023 | 37,323 | $40K | |
| 2024incomplete | 29,923 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 31% | 12,231 | 9,350 | $67K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 25% | 5,727 | 4,466 | $54K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 64,149 | 48,527 | $38K |
| 90620 | 2.9% | 1,155 | 829 | $6K | |
| 90651 | 2.6% | 1,507 | 976 | $6K | |
| 90670 | 2.4% | 2,030 | 1,520 | $5K | |
| 0003A | 2.4% | 130 | 130 | $5K | |
| 0001A | 2.3% | 181 | 155 | $5K | |
| 0002A | 2.0% | 147 | 124 | $4K | |
| 90734 | 1.7% | 1,622 | 1,171 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 1,530 | 911 | $3K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 1.5% | 220 | 191 | $3K |
71 more codes
| 90686 | 1.2% | 4,308 | $3K | |
| 99441 | <1% | 2,381 | $2K | |
| 0012A | <1% | 63 | $1K | |
| 90837 | Psychotherapy session, about an hour | <1% | 30 | $1K |
| 90461 | <1% | 879 | $858.36 | |
| 90750 | <1% | 51 | $579.10 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 62 | $519.36 |
| 0072A | <1% | 12 | $440.00 | |
| 97802 | <1% | 13 | $438.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 38 | $433.93 |
| 3078F | <1% | 8,168 | $430.00 | |
| 3074F | <1% | 11,993 | $410.00 | |
| 0011A | <1% | 37 | $406.56 | |
| 90633 | <1% | 1,436 | $386.15 | |
| 81000 | <1% | 95 | $307.19 | |
| 90715 | <1% | 756 | $286.66 | |
| 90707 | <1% | 1,088 | $228.00 | |
| 90696 | <1% | 248 | $222.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 13 | $215.28 |
| 90716 | <1% | 1,096 | $192.00 | |
| 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% | 983 | $186.48 |
| 80061 | Lipid panel | <1% | 13 | $185.90 |
| 3079F | <1% | 8,196 | $174.00 | |
| 1157F | <1% | 44 | $172.00 | |
| 1158F | <1% | 44 | $172.00 | |
| 90700 | <1% | 143 | $171.65 | |
| 90688 | <1% | 212 | $159.92 | |
| 3075F | <1% | 3,592 | $150.00 | |
| 96160 | <1% | 959 | $127.02 | |
| 90649 | <1% | 471 | $108.01 | |
| 99442 | <1% | 270 | $106.98 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $103.70 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 64 | $80.97 |
| 90648 | <1% | 257 | $39.00 | |
| 90863 | <1% | 92 | $34.00 | |
| 96127 | <1% | 2,842 | $32.38 | |
| 90674 | <1% | 79 | $29.22 | |
| 3077F | <1% | 2,172 | $15.00 | |
| 90698 | <1% | 241 | $6.02 | |
| 91301 | <1% | 98 | $0.05 | |
| 90647 | <1% | 72 | $0.02 | |
| 96150 | 0% | 57 | $0.00 | |
| 3008F | 0% | 1,013 | $0.00 | |
| 3080F | 0% | 1,268 | $0.00 | |
| 1170F | 0% | 36 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 45 | $0.00 |
| 98962 | 0% | 122 | $0.00 | |
| 90656 | 0% | 106 | $0.00 | |
| 90723 | 0% | 131 | $0.00 | |
| 90654 | 0% | 156 | $0.00 | |
| 1126F | 0% | 26 | $0.00 | |
| 90677 | 0% | 136 | $0.00 | |
| 1125F | 0% | 12 | $0.00 | |
| 90732 | 0% | 24 | $0.00 | |
| 90744 | 0% | 30 | $0.00 | |
| 96156 | 0% | 14 | $0.00 | |
| 3725F | 0% | 339 | $0.00 | |
| 90681 | 0% | 316 | $0.00 | |
| 91300 | 0% | 490 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 97 | $0.00 |
| 1160F | 0% | 51 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 121 | $0.00 |
| 99408 | 0% | 71 | $0.00 | |
| 96152 | 0% | 42 | $0.00 | |
| 1159F | 0% | 51 | $0.00 | |
| 90655 | 0% | 41 | $0.00 | |
| 99411 | 0% | 54 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 23 | $0.00 |
| S9083 | Global fee urgent care centers | 0% | 77 | $0.00 |
| 3090F | 0% | 46 | $0.00 | |
| 90658 | 0% | 34 | $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 officialMUNOZ BERMUDEZ, ARMANDO (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| Southern Hospital Services INC | Juana Diaz, PR | $2.42M |
| Southern Hospital Service INC | Juana Diaz, PR | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.