Clinic
Inspira Behavioral Care Corp.
Inspira Behavioral Care Corp. was paid $552K by Medicaid between Nov 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoINSPIRA BEHAVIORAL CARE CORP.
COAMO, PR 00769
COAMO, PR 00769
33aNPI1679075212assigned 02/28/2018
28Total paid$552K
24GClaims151,302
24DCodes billed31
24AFirst – last monthNov 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Puerto Rico
Rank by total paid#6 of 61
Median peer was paid$7K
This provider vs. median83×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official TORRES, JAVIER controls 14+ related entities in our dataset. Read more
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 | 2,675 | $10K | |
| 2019 | 24,410 | $70K | |
| 2020 | 23,284 | $60K | |
| 2021 | 27,869 | $105K | |
| 2022 | 23,314 | $106K | |
| 2023 | 30,885 | $188K | |
| 2024incomplete | 18,865 | $14K |
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 | 47% | 13,142 | 11,352 | $258K |
| 99442 | 33% | 9,292 | 8,014 | $181K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.9% | 30,920 | 28,270 | $49K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.6% | 16,000 | 14,329 | $26K |
| 99441 | 3.7% | 28,623 | 25,874 | $21K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.6% | 2,649 | 2,481 | $9K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,034 | 974 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 1,985 | 1,840 | $869.73 |
| 98967 | <1% | 11,166 | 10,315 | $691.79 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 469 | 427 | $610.00 |
| 96127 | <1% | 22,095 | 19,792 | $438.14 | |
| 98968 | <1% | 5,591 | 5,020 | $402.49 |
19 more codes
| 99349 | <1% | 323 | $376.28 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 269 | $364.32 |
| 99443 | <1% | 485 | $277.11 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 777 | $208.30 |
| 99411 | <1% | 3,480 | $135.00 | |
| 99347 | <1% | 811 | $70.00 | |
| 98966 | <1% | 1,528 | $60.72 | |
| 80061 | Lipid panel | 0% | 70 | $0.00 |
| 99348 | 0% | 100 | $0.00 | |
| 80305 | 0% | 66 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 61 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, 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; 5-10 minutes of medical discussion | 0% | 45 | $0.00 |
| 99342 | 0% | 13 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 25 | $0.00 |
| 84479 | 0% | 70 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 68 | $0.00 |
| 81001 | 0% | 62 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 69 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 14 | $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 officialTORRES, JAVIER (CONTRACTING DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Inspira Behavioral Care Corp. | Caguas, PR | $1.70M |
| Inspira Behavioral Care Corp. | Yauco, PR | $1.07M |
| Inspira Behavioral Care Corp. | Humacao, PR | $1.03M |
| Inspira Behavioral Care Corp. | Carolina, PR | $781K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $741K |
| Inspira Behavioral Care Corp. | Cidra, PR | $705K |
| Inspira Behavioral Care Corp. | Guayama, PR | $505K |
| Inspira Behavioral Care Corp. | Rio Grande, PR | $398K |
| Inspira Behavioral Care Corp. | Caguas, PR | $320K |
| Inspira Behavioral Care Corp. | San Juan, PR | $114K |
| Inspira Behavioral Care Corp. | San Juan, PR | $14K |
| Inspira Behavioral Care Corp. | Bayamon, PR | $11K |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $853.00 |
| Inspira Behavioral Care Corp. | Hato Rey, PR | $747.45 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.