Clinic
Grupo Medico Cesmi
Grupo Medico Cesmi was paid $650K by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 76700, Ultrasound, abdominal, real time with image documentation; complete — 23% of everything it billed.
33Billing provider infoGRUPO MEDICO CESMI
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1659496776assigned 03/20/2007
33bProvider typeClinic/Center
28Total paid$650K
24GClaims157,599
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Puerto Rico
Rank by total paid#7 of 117
Median peer was paid$38K
This provider vs. median17×
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 | 15,643 | $75K | |
| 2019 | 11,700 | $27K | |
| 2020 | 6,101 | $39K | |
| 2021 | 7,742 | $93K | |
| 2022 | 12,742 | $86K | |
| 2023 | 25,759 | $134K | |
| 2024incomplete | 77,912 | $195K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 23% | 1,806 | 1,558 | $146K |
| 76536 | 11% | 1,012 | 882 | $72K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 10% | 891 | 717 | $68K |
| 72100 | 7.1% | 1,756 | 1,477 | $46K | |
| 97803 | 6.6% | 1,341 | 1,238 | $43K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.3% | 2,271 | 2,219 | $41K |
| 97802 | 6.1% | 752 | 700 | $40K | |
| 76641 | 5.5% | 638 | 536 | $36K | |
| 72040 | 4.7% | 1,143 | 918 | $30K | |
| 71046 | Radiologic examination, chest; 2 views | 4.6% | 1,319 | 1,128 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 64,700 | 53,154 | $29K |
| 76830 | Ultrasound, transvaginal | 3.7% | 344 | 303 | $24K |
62 more codes
| 72070 | 2.3% | 602 | $15K | |
| 76770 | 1.6% | 164 | $10K | |
| 93970 | <1% | 24 | $5K | |
| 73560 | <1% | 216 | $4K | |
| 73030 | <1% | 145 | $4K | |
| 74018 | <1% | 229 | $3K | |
| 73620 | <1% | 153 | $2K | |
| 73120 | <1% | 97 | $2K | |
| 73600 | <1% | 13 | $294.06 | |
| 71045 | Radiologic examination, chest; single view | <1% | 15 | $204.90 |
| 99397 | 0% | 77 | $0.00 | |
| 3078F | 0% | 6,897 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 1,659 | $0.00 |
| 1160F | 0% | 1,320 | $0.00 | |
| 3050F | 0% | 305 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 2,357 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 920 | $0.00 |
| 3077F | 0% | 1,231 | $0.00 | |
| 99382 | 0% | 26 | $0.00 | |
| 1159F | 0% | 2,739 | $0.00 | |
| 99408 | 0% | 1,538 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,850 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,705 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,676 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 822 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 104 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 297 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 128 | $0.00 |
| 99173 | 0% | 1,373 | $0.00 | |
| 80061 | Lipid panel | 0% | 41 | $0.00 |
| 99442 | 0% | 31 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 96160 | 0% | 48 | $0.00 | |
| 3079F | 0% | 7,025 | $0.00 | |
| 3044F | 0% | 2,030 | $0.00 | |
| 3048F | 0% | 1,069 | $0.00 | |
| 3008F | 0% | 8,068 | $0.00 | |
| 1170F | 0% | 5,235 | $0.00 | |
| 3074F | 0% | 11,226 | $0.00 | |
| 99385 | 0% | 509 | $0.00 | |
| 3080F | 0% | 375 | $0.00 | |
| 3075F | 0% | 2,240 | $0.00 | |
| 96127 | 0% | 2,127 | $0.00 | |
| 99386 | 0% | 141 | $0.00 | |
| 3014F | 0% | 216 | $0.00 | |
| 99383 | 0% | 284 | $0.00 | |
| 3061F | 0% | 542 | $0.00 | |
| 3017F | 0% | 370 | $0.00 | |
| 92551 | 0% | 1,388 | $0.00 | |
| 99384 | 0% | 323 | $0.00 | |
| 93000 | 0% | 156 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,020 | $0.00 |
| 3049F | 0% | 437 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 2,195 | $0.00 |
| 99443 | 0% | 34 | $0.00 | |
| 99441 | 0% | 354 | $0.00 | |
| 86580 | 0% | 57 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 275 | $0.00 |
| 96161 | 0% | 51 | $0.00 | |
| 99174 | 0% | 13 | $0.00 | |
| 97804 | 0% | 23 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 29 | $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 officialCASTRO - MEAUX, ZAIDA (DIRECTORA)