Managed care
Facilidades Medicas Asociadas Corp.
Facilidades Medicas Asociadas Corp. was paid $277K by Medicaid between Jan 2018 and Dec 2024, across 135 billing codes. Its largest line is 97802, — 29% of everything it billed.
33Billing provider infoFACILIDADES MEDICAS ASOCIADAS CORP.
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1700024403assigned 02/03/2009
33bProvider typePreferred Provider Organization
28Total paid$277K
24GClaims2,882,183
24DCodes billed135
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Preferred Provider Organization providers in Puerto Rico
Rank by total paid#3 of 5
Median peer was paid$277K
This provider vs. median1.0×
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
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 | 316,517 | $2K | |
| 2019 | 406,811 | $29K | |
| 2020 | 241,185 | $29K | |
| 2021 | 413,231 | $64K | |
| 2022 | 405,770 | $45K | |
| 2023 | 427,937 | $48K | |
| 2024incomplete | 670,732 | $58K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97802 | 29% | 3,104 | 2,601 | $79K | |
| 97803 | 21% | 3,055 | 2,640 | $59K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 259,341 | 201,507 | $54K |
| 96160 | 5.9% | 38,069 | 32,354 | $16K | |
| 99441 | 4.2% | 44,451 | 36,500 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 97,855 | 72,601 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 891 | 450 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 7,353 | 6,657 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.6% | 4,244 | 2,786 | $4K |
| 0012A | 1.5% | 158 | 128 | $4K | |
| 0011A | 1.2% | 155 | 133 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 228 | 113 | $3K |
123 more codes
| 99442 | <1% | 10,277 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35,522 | $1K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,097 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 51 | $951.00 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 558 | $748.26 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,817 | $694.87 |
| 3008F | <1% | 228,938 | $662.01 | |
| 1159F | <1% | 223,360 | $630.04 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,315 | $602.88 |
| 2001F | <1% | 187,897 | $600.07 | |
| 3074F | <1% | 149,052 | $600.00 | |
| 1160F | <1% | 224,870 | $570.05 | |
| 2000F | <1% | 161,245 | $570.02 | |
| 3078F | <1% | 153,400 | $570.00 | |
| 2010F | <1% | 192,059 | $510.01 | |
| 96127 | <1% | 7,208 | $502.02 | |
| 3028F | <1% | 151,818 | $390.01 | |
| 1126F | <1% | 126,229 | $390.00 | |
| 0521F | <1% | 61,061 | $390.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 1,411 | $321.34 |
| 99254 | <1% | 100 | $280.00 | |
| 1170F | <1% | 46,445 | $270.01 | |
| 1000F | <1% | 72,859 | $240.01 | |
| 1036F | <1% | 71,307 | $240.01 | |
| 1158F | <1% | 31,388 | $240.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,537 | $212.40 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,022 | $195.83 |
| 90837 | Psychotherapy session, about an hour | <1% | 12 | $173.50 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 79 | $137.70 |
| 90651 | <1% | 24 | $96.00 | |
| 1157F | <1% | 13,739 | $90.01 | |
| 3011F | <1% | 24,969 | $90.00 | |
| 1125F | <1% | 37,264 | $90.00 | |
| 4010F | <1% | 18,457 | $60.02 | |
| 3079F | <1% | 28,479 | $60.01 | |
| 3048F | <1% | 11,045 | $60.00 | |
| 90686 | <1% | 13 | $52.00 | |
| 3075F | <1% | 16,127 | $30.01 | |
| 3017F | <1% | 4,276 | $30.00 | |
| 3049F | <1% | 5,326 | $30.00 | |
| 3044F | <1% | 11,794 | $30.00 | |
| 99348 | <1% | 565 | $25.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 431 | $23.69 |
| 99401 | <1% | 5,266 | $20.54 | |
| 99406 | <1% | 71 | $12.50 | |
| 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 | <1% | 311 | $10.38 |
| 1220F | 0% | 3,274 | $0.00 | |
| 81001 | 0% | 42 | $0.00 | |
| 1030F | 0% | 3,802 | $0.00 | |
| 3080F | 0% | 3,635 | $0.00 | |
| 3014F | 0% | 1,939 | $0.00 | |
| 3061F | 0% | 8,828 | $0.00 | |
| 1034F | 0% | 258 | $0.00 | |
| 1111F | 0% | 719 | $0.00 | |
| 4015F | 0% | 178 | $0.00 | |
| 3060F | 0% | 267 | $0.00 | |
| 99349 | 0% | 410 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 76 | $0.00 |
| 99368 | 0% | 586 | $0.00 | |
| 4017F | 0% | 560 | $0.00 | |
| 3052F | 0% | 74 | $0.00 | |
| 1101F | 0% | 349 | $0.00 | |
| 3037F | 0% | 654 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 172 | $0.00 |
| 4016F | 0% | 73 | $0.00 | |
| 3066F | 0% | 178 | $0.00 | |
| 0012F | 0% | 86 | $0.00 | |
| 4086F | 0% | 57 | $0.00 | |
| 3072F | 0% | 185 | $0.00 | |
| 91301 | 0% | 335 | $0.00 | |
| 1123F | 0% | 80 | $0.00 | |
| 3268F | 0% | 32 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 158 | $0.00 |
| 1035F | 0% | 14 | $0.00 | |
| 93000 | 0% | 19 | $0.00 | |
| 99422 | 0% | 224 | $0.00 | |
| 99384 | 0% | 47 | $0.00 | |
| 99443 | 0% | 128 | $0.00 | |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 14 | $0.00 |
| 1022F | 0% | 12 | $0.00 | |
| 99383 | 0% | 40 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 13 | $0.00 |
| 93922 | 0% | 20 | $0.00 | |
| 99496 | 0% | 15 | $0.00 | |
| G0406 | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth | 0% | 14 | $0.00 |
| 4037F | 0% | 25 | $0.00 | |
| 3292F | 0% | 13 | $0.00 | |
| 3077F | 0% | 17,623 | $0.00 | |
| 2028F | 0% | 4,540 | $0.00 | |
| 3511F | 0% | 1,497 | $0.00 | |
| 4035F | 0% | 7,299 | $0.00 | |
| 0518F | 0% | 2,332 | $0.00 | |
| 4013F | 0% | 9,805 | $0.00 | |
| 1124F | 0% | 139 | $0.00 | |
| 3725F | 0% | 3,047 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 577 | $0.00 |
| 3050F | 0% | 2,288 | $0.00 | |
| 1090F | 0% | 2,415 | $0.00 | |
| 80061 | Lipid panel | 0% | 531 | $0.00 |
| 2022F | 0% | 63 | $0.00 | |
| 5010F | 0% | 1,077 | $0.00 | |
| 99408 | 0% | 39 | $0.00 | |
| 1100F | 0% | 1,181 | $0.00 | |
| 3051F | 0% | 609 | $0.00 | |
| 1033F | 0% | 93 | $0.00 | |
| 4145F | 0% | 31 | $0.00 | |
| 99173 | 0% | 55 | $0.00 | |
| 3288F | 0% | 483 | $0.00 | |
| 3018F | 0% | 170 | $0.00 | |
| 3015F | 0% | 775 | $0.00 | |
| 2014F | 0% | 446 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 176 | $0.00 |
| 3045F | 0% | 865 | $0.00 | |
| 99421 | 0% | 2,114 | $0.00 | |
| 3342F | 0% | 27 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 313 | $0.00 |
| 99336 | 0% | 107 | $0.00 | |
| 98966 | 0% | 34 | $0.00 | |
| 99201 | 0% | 354 | $0.00 | |
| 3046F | 0% | 50 | $0.00 | |
| 4019F | 0% | 86 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 0% | 329 | $0.00 |
| 3016F | 0% | 13 | $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, MELVIN (ADMINISTRATOR)