Clinic
Hope Health PSC
Hope Health PSC was paid $920K by Medicaid between Jan 2018 and Jan 2023, across 8 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 33% of everything it billed.
33Billing provider infoHOPE HEALTH PSC
SAN JUAN, PR 00907
SAN JUAN, PR 00907
33aNPI1609186212assigned 10/15/2010
33bProvider typeCorporate Health Clinic/Center
28Total paid$920K
24GClaims15,154
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Corporate Health Clinic/Center providers in Puerto Rico
Rank by total paid#1 of 13
Median peer was paid$33K
This provider vs. median28×
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 | 3,185 | $62K | |
| 2019 | 3,203 | $63K | |
| 2020 | 2,204 | $170K | |
| 2021 | 3,779 | $374K | |
| 2022 | 2,678 | $250K | |
| 2023 | 105 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 33% | 1,192 | 1,050 | $308K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 31% | 6,846 | 6,187 | $285K |
| 99223 | Prolong inpt eval add15 m | 18% | 2,729 | 2,471 | $161K |
| 99245 | 12% | 2,815 | 2,669 | $108K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 5.2% | 1,156 | 1,028 | $48K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 89 | 77 | $5K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | <1% | 177 | 162 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 150 | 124 | $48.05 |
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 officialALI-SHEHADEH, SAMAH (PRESIDENT)