Agency
Smart Business Group
Smart Business Group was paid $1.35M by Medicaid between Dec 2023 and Dec 2024, across 6 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 79% of everything it billed.
33Billing provider infoSMART BUSINESS GROUP
SALINAS, PR 00751
SALINAS, PR 00751
33aNPI1619508769assigned 01/28/2020
33bProvider typeHome Health Agency
28Total paid$1.35M
24GClaims6,569
24DCodes billed6
24AFirst – last monthDec 2023 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Puerto Rico
Rank by total paid#7 of 29
Median peer was paid$378K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2023 | 208 | $55K | |
| 2024incomplete | 6,361 | $1.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 79% | 3,997 | 202 | $1.07M |
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 18% | 915 | 802 | $237K |
| A5120 | Skin barrier, wipes or swabs, each | 2.1% | 601 | 521 | $28K |
| A4554 | Disposable underpads, all sizes | 1.1% | 452 | 387 | $15K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 302 | 253 | $2K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | <1% | 302 | 252 | $600.00 |
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 officialMEDINA, EMMANUEL (DIRECTOR)
Parent organizationSMART BUSINESS GROUP LLC