Clinic
A&p Medical Group
A&p Medical Group was paid $1K by Medicaid between Jul 2018 and Jan 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoA&P MEDICAL GROUP
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1699135228assigned 02/24/2016
33bProvider typeCommunity Health Clinic/Center
28Total paid$1K
24GClaims8,667
24DCodes billed18
24AFirst – last monthJul 2018 – Jan 2024
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#15 of 20
Median peer was paid$15K
This provider vs. median0.1×
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 | 4,573 | $70.64 | |
| 2019 | 1,967 | $234.42 | |
| 2020 | 130 | $996.02 | |
| 2021 | 1,062 | $0.00 | |
| 2022 | 270 | $0.00 | |
| 2023 | 394 | $0.00 | |
| 2024incomplete | 271 | $0.00 |
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 | 92% | 1,282 | 898 | $1K |
| 99442 | 8.0% | 33 | 26 | $103.58 | |
| 1119F | 0% | 131 | 66 | $0.00 | |
| 0521F | 0% | 872 | 564 | $0.00 | |
| 3725F | 0% | 835 | 530 | $0.00 | |
| 1159F | 0% | 873 | 563 | $0.00 | |
| 1033F | 0% | 146 | 139 | $0.00 | |
| 1160F | 0% | 127 | 123 | $0.00 | |
| 3078F | 0% | 841 | 532 | $0.00 | |
| 1158F | 0% | 142 | 138 | $0.00 | |
| 3075F | 0% | 693 | 395 | $0.00 | |
| 1121F | 0% | 490 | 367 | $0.00 |
6 more codes
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 officialSELLES, PAUL (PRESIDENT)