Physician
Policlinicas Medicas Asociadas, INC.
Policlinicas Medicas Asociadas, INC. was paid $87K by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoPOLICLINICAS MEDICAS ASOCIADAS, INC.
PONCE, PR 00717
PONCE, PR 00717
33aNPI1629009527assigned 07/06/2006
33bProvider typeFamily Medicine Physician
28Total paid$87K
24GClaims761,540
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#26 of 160
Median peer was paid$1K
This provider vs. median76×
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 | 35,390 | $3K | |
| 2019 | 73,998 | $689.77 | |
| 2020 | 59,572 | $11K | |
| 2021 | 130,607 | $23K | |
| 2022 | 144,184 | $18K | |
| 2023 | 193,868 | $23K | |
| 2024incomplete | 123,921 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 142,183 | 122,945 | $63K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 13% | 2,104 | 1,857 | $11K |
| 96160 | 5.2% | 9,045 | 8,435 | $5K | |
| 99441 | 2.5% | 8,013 | 6,485 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 3,456 | 3,228 | $2K |
| 99401 | 1.7% | 53,259 | 49,578 | $2K | |
| 99442 | 1.2% | 694 | 616 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,520 | 5,535 | $327.03 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,707 | 1,521 | $287.63 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,198 | 2,099 | $263.68 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,962 | 3,773 | $189.53 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,924 | 3,654 | $165.86 |
69 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 506 | $123.32 |
| 96127 | <1% | 2,454 | $66.40 | |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 | <1% | 1,196 | $34.44 |
| 99383 | <1% | 40 | $28.08 | |
| 93000 | <1% | 202 | $17.00 | |
| 1157F | 0% | 20,353 | $0.00 | |
| 3044F | 0% | 10,167 | $0.00 | |
| 3074F | 0% | 67,408 | $0.00 | |
| 1126F | 0% | 31,590 | $0.00 | |
| 0509F | 0% | 4,780 | $0.00 | |
| 3008F | 0% | 61,237 | $0.00 | |
| 2000F | 0% | 5,618 | $0.00 | |
| 2010F | 0% | 5,663 | $0.00 | |
| 3048F | 0% | 7,983 | $0.00 | |
| 4010F | 0% | 15,578 | $0.00 | |
| 3075F | 0% | 3,711 | $0.00 | |
| 3049F | 0% | 3,477 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 681 | $0.00 |
| 3079F | 0% | 6,898 | $0.00 | |
| 4086F | 0% | 2,871 | $0.00 | |
| 1170F | 0% | 1,455 | $0.00 | |
| 4008F | 0% | 2,424 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 8,197 | $0.00 |
| 3017F | 0% | 4,643 | $0.00 | |
| 3061F | 0% | 3,188 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 498 | $0.00 |
| 1125F | 0% | 16,747 | $0.00 | |
| 3080F | 0% | 643 | $0.00 | |
| 3014F | 0% | 1,846 | $0.00 | |
| 2001F | 0% | 5,245 | $0.00 | |
| 96150 | 0% | 246 | $0.00 | |
| 3072F | 0% | 15 | $0.00 | |
| 3060F | 0% | 134 | $0.00 | |
| 99050 | 0% | 666 | $0.00 | |
| 3011F | 0% | 398 | $0.00 | |
| 2023F | 0% | 71 | $0.00 | |
| 99384 | 0% | 373 | $0.00 | |
| 99402 | 0% | 62 | $0.00 | |
| 1111F | 0% | 198 | $0.00 | |
| 99368 | 0% | 35 | $0.00 | |
| 96112 | 0% | 99 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 69 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 15 | $0.00 |
| 0540F | 0% | 12 | $0.00 | |
| 1159F | 0% | 34,427 | $0.00 | |
| 1160F | 0% | 33,899 | $0.00 | |
| 0521F | 0% | 14,342 | $0.00 | |
| 3078F | 0% | 65,800 | $0.00 | |
| 99408 | 0% | 1,534 | $0.00 | |
| 4035F | 0% | 8,678 | $0.00 | |
| 0518F | 0% | 6,544 | $0.00 | |
| 1158F | 0% | 20,016 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 789 | $0.00 |
| 3725F | 0% | 14,497 | $0.00 | |
| 4013F | 0% | 16,134 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 618 | $0.00 |
| 3050F | 0% | 1,739 | $0.00 | |
| 3015F | 0% | 1,028 | $0.00 | |
| 3077F | 0% | 1,486 | $0.00 | |
| D0145 | Oral evaluation for a patient under three years of age | 0% | 1,136 | $0.00 |
| 4004F | 0% | 217 | $0.00 | |
| 2028F | 0% | 715 | $0.00 | |
| 3511F | 0% | 178 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 389 | $0.00 |
| 3095F | 0% | 94 | $0.00 | |
| 4005F | 0% | 99 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 347 | $0.00 |
| 3051F | 0% | 13 | $0.00 | |
| 99367 | 0% | 64 | $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 officialCABEZA, VICTOR (PRESIDENT)