Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Canovanas Medical Center CSP

Canovanas Medical Center CSP was paid $937K by Medicaid between Jul 2019 and Dec 2024, across 47 billing codes. Its largest line is 99051, — 30% of everything it billed.

33Billing provider infoCANOVANAS MEDICAL CENTER CSP
CANOVANAS, PR 00729
33aNPI1710354899assigned 08/25/2015
28Total paid$937K
24GClaims65,077
24DCodes billed47
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Emergency Care Clinic/Center providers in Puerto Rico

Rank by total paid#9 of 55
Median peer was paid$175K
This provider vs. median5.4×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201931$0.00
202042$237.16
20214,539$125K
202219,608$182K
202326,269$511K
2024incomplete14,588$118K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99051 30% 18,626 16,533 $285K
99429 16% 18,556 16,470 $150K
90670 8.0% 1,044 635 $75K
90649 7.7% 1,269 767 $72K
90733 4.5% 863 552 $42K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.9% 3,737 2,257 $27K
90621 2.7% 549 360 $25K
0004A 2.5% 648 647 $24K
0012A 2.4% 1,077 782 $23K
90472 Immunization administration, each additional vaccine (list separately) 2.1% 2,246 1,309 $20K
0072A 2.0% 498 495 $19K
0001A 1.8% 478 455 $17K
35 more codes
0064A 1.7% 471 $16K
0011A 1.7% 858 $16K
0002A 1.6% 392 $15K
0013A 1.4% 343 $13K
90697 1.2% 469 $11K
0003A 1.1% 258 $10K
90707 1.0% 835 $10K
90716 1.0% 662 $9K
90715 <1% 816 $9K
0071A <1% 265 $9K
90633 <1% 796 $6K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,965 $5K
0054A <1% 176 $5K
90686 <1% 788 $5K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 121 $5K
90461 <1% 1,726 $3K
0124A <1% 71 $2K
0134A <1% 58 $2K
90677 <1% 416 $1K
90647 <1% 126 $1K
90700 <1% 210 $752.30
90696 <1% 153 $684.00
90698 <1% 275 $628.53
0031A <1% 95 $560.00
90734 <1% 440 $484.47
90681 <1% 555 $451.86
0074A <1% 12 $440.00
90651 <1% 439 $326.20
90620 <1% 65 $0.06
90623 0% 85 $0.00
90648 0% 19 $0.00
99283 Emergency room visit (moderate) 0% 105 $0.00
91307 0% 327 $0.00
90680 0% 47 $0.00
90744 0% 47 $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 officialMELLADO, CARLOS (PRESIDENT)