Physician
Recinto De Ciencias Medicas
Recinto De Ciencias Medicas was paid $3.77M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoRECINTO DE CIENCIAS MEDICAS
RIO PIEDRAS, PR 00921
RIO PIEDRAS, PR 00921
33aNPI1689752461assigned 11/01/2006
33bProvider typeGynecology Physician
28Total paid$3.77M
24GClaims82,792
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Puerto Rico
Rank by total paid#2 of 32
Median peer was paid$52K
This provider vs. median73×
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 TROCHE, MYRIAM controls 20+ 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 | 9,974 | $149K | |
| 2019 | 9,833 | $164K | |
| 2020 | 8,029 | $245K | |
| 2021 | 8,597 | $394K | |
| 2022 | 11,422 | $570K | |
| 2023 | 14,918 | $940K | |
| 2024incomplete | 20,019 | $1.31M |
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 | 64% | 62,731 | 40,167 | $2.43M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.4% | 6,458 | 4,811 | $318K |
| 59515 | 7.9% | 304 | 147 | $296K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.8% | 2,276 | 1,649 | $257K |
| 99221 | 2.4% | 1,478 | 1,005 | $92K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.2% | 2,454 | 1,448 | $84K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 2.0% | 716 | 391 | $75K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.4% | 233 | 206 | $52K |
| 59410 | 1.1% | 66 | 36 | $43K | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.1% | 2,696 | 1,651 | $41K |
| 99442 | <1% | 724 | 524 | $33K | |
| 59025 | Fetal non-stress test | <1% | 615 | 327 | $24K |
8 more codes
| 99070 | <1% | 1,797 | $20K | |
| 99283 | Emergency room visit (moderate) | <1% | 66 | $3K |
| 57454 | <1% | 15 | $780.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 76 | $361.74 |
| P3001 | Screening papanicolaou smear, cervical or vaginal, up to three smears, requiring interpretation by physician | 0% | 13 | $0.00 |
| 3078F | 0% | 22 | $0.00 | |
| 3008F | 0% | 24 | $0.00 | |
| 3074F | 0% | 28 | $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 officialTROCHE, MYRIAM (CREDENTIALING COORDINATOR)
| Provider | Location | Paid |
|---|---|---|
| Recinto De Ciencias Medicas | Carolina, PR | $6.83M |
| Recinto De Ciencias Medicas | San Juan, PR | $5.42M |
| Recinto De Ciencias Medicas | San Juan, PR | $4.21M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.95M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.42M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $3.09M |
| Recinto De Ciencias Medicas | San Juan, PR | $3.04M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.68M |
| Recinto De Ciencias Medicas | San Juan, PR | $2.37M |
| Recinto De Ciencias Medicas | Rio Piedras, PR | $2.09M |
| Recinto De Ciencias Medicas | Carolina, PR | $2.03M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.18M |
| Recinto De Ciencias Medicas | San Juan, PR | $1.05M |
| Recinto De Ciencias Medicas | Carolina, PR | $1.01M |
| Recinto De Ciencias Medicas | Carolina, PR | $954K |
| Recinto De Ciencias Medicas | San Juan, PR | $885K |
| Recinto De Ciencias Medicas | San Juan, PR | $879K |
| Recinto De Ciencias Medicas | San Juan, PR | $839K |
| Recinto De Ciencias Medicas | Carolina, PR | $822K |
| Recinto De Ciencias Medicas | Carolina, PR | $767K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.