Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Clinica Las Americas Guaynabo, INC

Clinica Las Americas Guaynabo, INC was paid $29K by Medicaid between Jan 2020 and May 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.

33Billing provider infoCLINICA LAS AMERICAS GUAYNABO, INC
CAROLINA, PR 00983
33aNPI1649785791assigned 12/12/2017
28Total paid$29K
24GClaims533
24DCodes billed3
24AFirst – last monthJan 2020 – May 2024
Compared with peers

Next to other Multi-Specialty Clinic/Center providers in Puerto Rico

Rank by total paid#30 of 53
Median peer was paid$44K
This provider vs. median0.7×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
2020312$13K
202132$2K
2023135$9K
2024incomplete54$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 57% 286 258 $17K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38% 233 193 $11K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5.0% 14 14 $1K

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 officialMARTINEZ RUIZ, LUIS (PRESIDENTE)
Parent organizationCLINICA LAS AMERICAS GUAYNABO
Same official

Other billing entities under MARTINEZ RUIZ, LUIS

Full network →
ProviderLocationPaid
Clinica Las Americas GuaynaboSan Juan, PR$6K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.