Managed care
CDR Medical Center L.L.C.
CDR Medical Center L.L.C. was paid $352K by Medicaid between Jan 2018 and Oct 2024, across 18 billing codes. Its largest line is 99050, — 26% of everything it billed.
33Billing provider infoCDR MEDICAL CENTER L.L.C.
MOROVIS, PR 00687
MOROVIS, PR 00687
33aNPI1689098014assigned 02/05/2014
33bProvider typeHealth Maintenance Organization
28Total paid$352K
24GClaims45,170
24DCodes billed18
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in Puerto Rico
Rank by total paid#5 of 37
Median peer was paid$25K
This provider vs. median14×
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 | 10,771 | $98K | |
| 2019 | 9,042 | $65K | |
| 2020 | 7,005 | $38K | |
| 2021 | 5,526 | $88K | |
| 2022 | 5,326 | $41K | |
| 2023 | 6,776 | $20K | |
| 2024incomplete | 724 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99050 | 26% | 2,355 | 2,009 | $90K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 19,473 | 16,149 | $86K |
| 99441 | 20% | 7,429 | 5,913 | $71K | |
| 99442 | 17% | 6,539 | 5,629 | $59K | |
| 99443 | 7.2% | 1,883 | 1,575 | $25K | |
| 96160 | 3.7% | 707 | 660 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.1% | 390 | 372 | $4K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 2,434 | 2,136 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 142 | 130 | $661.00 |
| 96161 | <1% | 15 | 15 | $14.20 | |
| 2010F | 0% | 1,198 | 1,107 | $0.00 | |
| 2000F | 0% | 1,201 | 1,105 | $0.00 |
6 more codes
| 2001F | 0% | 1,207 | $0.00 | |
| 96150 | 0% | 16 | $0.00 | |
| 3074F | 0% | 72 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 17 | $0.00 |
| 3078F | 0% | 71 | $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% | 21 | $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 officialRODRIGUEZ, MANUEL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Puzzle Therapy Services, INC. | Cape Coral, FL | $287K |
| Rodriguez Baisi Psychiatric Services LLC | Anchorage, AK | $240K |
| Dental Gerona LLC | Sabana Grande, PR | $90K |
| Roma Obgyn Services, P.S.C. | Mayaguez, PR | $527.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.