Clinic
Oceania Medical Center PSC
Oceania Medical Center PSC was paid $3K by Medicaid between Jan 2018 and Jun 2019, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoOCEANIA MEDICAL CENTER PSC
HUMACAO, PR 00791
HUMACAO, PR 00791
33aNPI1700220480assigned 04/24/2013
33bProvider typeMedical Specialty Clinic/Center
28Total paid$3K
24GClaims5,084
24DCodes billed25
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#43 of 54
Median peer was paid$61K
This provider vs. median0.0×
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 | 4,795 | $3K | |
| 2019 | 289 | $146.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 456 | 434 | $1K |
| 3074F | 22% | 508 | 487 | $647.40 | |
| 3078F | 12% | 337 | 324 | $353.40 | |
| 1158F | 9.1% | 450 | 428 | $263.52 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 253 | 241 | $251.20 |
| 3079F | 5.5% | 162 | 154 | $158.76 | |
| 3048F | 3.4% | 77 | 71 | $98.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 16 | 16 | $87.08 |
| 3075F | <1% | 32 | 32 | $5.88 | |
| 1170F | 0% | 471 | 451 | $0.00 | |
| 3014F | 0% | 49 | 47 | $0.00 | |
| 1125F | 0% | 445 | 426 | $0.00 |
13 more codes
| 3017F | 0% | 90 | $0.00 | |
| 1126F | 0% | 15 | $0.00 | |
| 3060F | 0% | 17 | $0.00 | |
| 3061F | 0% | 63 | $0.00 | |
| 3008F | 0% | 19 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 53 | $0.00 |
| 3049F | 0% | 14 | $0.00 | |
| 0521F | 0% | 461 | $0.00 | |
| 1159F | 0% | 474 | $0.00 | |
| 1160F | 0% | 476 | $0.00 | |
| 96160 | 0% | 28 | $0.00 | |
| 2028F | 0% | 106 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 12 | $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 officialMALDONADO, CARLOS (PRESIDENT)