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

Puerto Rico Women and Children S Hospital LLC

Puerto Rico Women and Children S Hospital LLC was paid $358K by Medicaid between Feb 2019 and Dec 2024, across 15 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 34% of everything it billed.

33Billing provider infoPUERTO RICO WOMEN AND CHILDREN S HOSPITAL LLC
BAYAMON, PR 00960
33aNPI1689148298assigned 01/16/2019
33bProvider typeChildren's Hospital
28Total paid$358K
24GClaims12,107
24DCodes billed15
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers

Next to other Children's Hospital providers in Puerto Rico

Rank by total paid#1 of 5
Median peer was paid$119K
This provider vs. median3.0×

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$10K$20K$30K2018201920202021202220232024
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
2019596$4K
2020720$22K
2021230$2K
2022252$2K
20233,641$107K
2024incomplete6,668$221K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
74177 Computed tomography, abdomen and pelvis; with contrast material 34% 604 439 $120K
71046 Radiologic examination, chest; 2 views 21% 6,120 4,308 $74K
70450 Computed tomography, head or brain; without contrast material 17% 578 433 $60K
76700 Ultrasound, abdominal, real time with image documentation; complete 7.7% 596 445 $28K
99205 Prolong outpt/office vis 6.1% 149 122 $22K
71045 Radiologic examination, chest; single view 4.5% 1,872 818 $16K
74018 3.6% 1,168 757 $13K
76770 2.5% 215 168 $9K
99070 1.7% 243 190 $6K
93000 1.4% 244 196 $5K
74019 <1% 135 100 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 76 76 $1K
3 more codes
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 29 $1K
99244 Office or other outpatient consultation, moderate to high complexity <1% 45 $600.00
70210 <1% 33 $291.76

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 officialNARVAEZ, PEDRO (DIRECTOR DE CONTRATACIONES)
Same official

Other billing entities under NARVAEZ, PEDRO

Full network →
ProviderLocationPaid
Corozal Vision Care, LLCCorozal, PR$438K
Corozal Vision Care, LLCMayaguez, PR$2K

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