Physician
Women's Health Institute, PSC
Women's Health Institute, PSC was paid $2.87M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 58558, — 55% of everything it billed.
33Billing provider infoWOMEN'S HEALTH INSTITUTE, PSC
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1699216069assigned 03/17/2017
33bProvider typeGynecology Physician
28Total paid$2.87M
24GClaims20,648
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Gynecology Physician providers in Puerto Rico
Rank by total paid#3 of 32
Median peer was paid$52K
This provider vs. median55×
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 | 1,278 | $26K | |
| 2019 | 628 | $13K | |
| 2020 | 1,344 | $101K | |
| 2021 | 3,346 | $559K | |
| 2022 | 3,287 | $452K | |
| 2023 | 3,801 | $677K | |
| 2024incomplete | 6,964 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 58558 | 55% | 1,432 | 1,182 | $1.58M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 11,715 | 7,426 | $568K |
| 57454 | 13% | 1,839 | 1,379 | $364K | |
| 58340 | 5.5% | 1,084 | 857 | $159K | |
| 76831 | 2.9% | 1,084 | 857 | $82K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 2.3% | 2,306 | 1,887 | $66K |
| 76830 | Ultrasound, transvaginal | <1% | 185 | 183 | $17K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 365 | 293 | $14K |
| 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% | 182 | 177 | $10K |
| 99070 | <1% | 412 | 355 | $7K | |
| 56821 | <1% | 31 | 31 | $3K | |
| 57150 | <1% | 13 | 13 | $130.00 |
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 officialSALGUEIRO BRAVO, JESUS (PRESIDENTE)