Clinic
CSM Servicios De Cuidado INC.
CSM Servicios De Cuidado INC. was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 25% of everything it billed.
33Billing provider infoCSM SERVICIOS DE CUIDADO INC.
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1639367154assigned 10/10/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.60M
24GClaims88,690
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#1 of 65
Median peer was paid$9K
This provider vs. median187×
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 | 416 | $1K | |
| 2019 | 332 | $993.50 | |
| 2020 | 5,601 | $78K | |
| 2021 | 9,100 | $229K | |
| 2022 | 13,682 | $324K | |
| 2023 | 18,423 | $501K | |
| 2024incomplete | 41,136 | $467K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 25% | 4,804 | 4,462 | $401K |
| 76641 | 20% | 4,341 | 4,047 | $327K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 11% | 1,977 | 1,881 | $174K |
| 76536 | 6.6% | 1,240 | 1,172 | $105K | |
| 76830 | Ultrasound, transvaginal | 5.9% | 1,088 | 1,016 | $94K |
| 77066 | Tomosynthesis, mammo | 4.0% | 605 | 571 | $64K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 4.0% | 794 | 754 | $63K |
| 72100 | 3.7% | 2,101 | 1,995 | $59K | |
| 71046 | Radiologic examination, chest; 2 views | 3.4% | 2,299 | 2,177 | $55K |
| 73560 | 2.7% | 1,781 | 1,255 | $42K | |
| 72040 | 2.6% | 1,549 | 1,460 | $42K | |
| 76770 | 2.6% | 559 | 498 | $42K |
73 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.6% | 13,746 | $25K |
| 72070 | 1.3% | 945 | $21K | |
| 73030 | 1.2% | 775 | $19K | |
| 74018 | <1% | 633 | $14K | |
| 73620 | <1% | 529 | $11K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,993 | $10K |
| 71045 | Radiologic examination, chest; single view | <1% | 348 | $6K |
| 70220 | <1% | 187 | $5K | |
| 97012 | <1% | 704 | $4K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 3,508 | $4K |
| 73120 | <1% | 106 | $3K | |
| 73130 | <1% | 97 | $2K | |
| 73600 | <1% | 48 | $1K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 548 | $1K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $1K |
| 99441 | <1% | 3,347 | $997.94 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 216 | $968.73 |
| 0012A | <1% | 17 | $640.00 | |
| 0003A | <1% | 13 | $520.00 | |
| 0011A | <1% | 12 | $480.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 558 | $270.00 |
| 77072 | <1% | 18 | $248.25 | |
| 90656 | <1% | 45 | $207.72 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,285 | $170.00 |
| 99442 | <1% | 752 | $146.56 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 561 | $105.84 |
| 96160 | <1% | 1,017 | $62.56 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 521 | $46.97 |
| 86580 | <1% | 268 | $20.34 | |
| 90473 | <1% | 147 | $12.13 | |
| 96127 | <1% | 829 | $3.90 | |
| 91301 | <1% | 48 | $0.05 | |
| 3074F | 0% | 4,451 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,427 | $0.00 |
| 99050 | 0% | 339 | $0.00 | |
| 3044F | 0% | 302 | $0.00 | |
| 3008F | 0% | 1,901 | $0.00 | |
| 3075F | 0% | 741 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 895 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 45 | $0.00 |
| 1126F | 0% | 716 | $0.00 | |
| 99368 | 0% | 293 | $0.00 | |
| 3080F | 0% | 78 | $0.00 | |
| 1111F | 0% | 224 | $0.00 | |
| 1170F | 0% | 722 | $0.00 | |
| 1125F | 0% | 122 | $0.00 | |
| 3079F | 0% | 877 | $0.00 | |
| 3014F | 0% | 134 | $0.00 | |
| 3017F | 0% | 117 | $0.00 | |
| 93000 | 0% | 54 | $0.00 | |
| 99384 | 0% | 22 | $0.00 | |
| 3048F | 0% | 76 | $0.00 | |
| 3049F | 0% | 26 | $0.00 | |
| 3061F | 0% | 12 | $0.00 | |
| 3060F | 0% | 14 | $0.00 | |
| 3077F | 0% | 1,033 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 42 | $0.00 |
| 3078F | 0% | 5,964 | $0.00 | |
| 1160F | 0% | 913 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 594 | $0.00 |
| 99397 | 0% | 368 | $0.00 | |
| 99408 | 0% | 218 | $0.00 | |
| 99367 | 0% | 281 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 3,111 | $0.00 |
| 91300 | 0% | 35 | $0.00 | |
| 1159F | 0% | 937 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 170 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 381 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 15 | $0.00 |
| 99347 | 0% | 15 | $0.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 0% | 12 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 26 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 16 | $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 officialMOYKA, CARLOS (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| CRM Grupo Profesional Medicos, CSP | Toa Baja, PR | $657K |
| Centro De Cuidados Dirigidos De Levittown INC | Toa Baja, PR | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.