Hospital
Metro Ponce INC
Metro Ponce INC was paid $1.43M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 74176, Computed tomography, abdomen and pelvis; without contrast material — 45% of everything it billed.
33Billing provider infoMETRO PONCE INC
PONCE, PR 00717
PONCE, PR 00717
33aNPI1720306343assigned 05/06/2010
33bProvider typeGeneral Acute Care Hospital
28Total paid$1.43M
24GClaims49,734
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#14 of 58
Median peer was paid$486K
This provider vs. median2.9×
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 | 6,462 | $50K | |
| 2019 | 6,641 | $98K | |
| 2020 | 2,975 | $72K | |
| 2021 | 4,664 | $168K | |
| 2022 | 4,170 | $157K | |
| 2023 | 12,259 | $470K | |
| 2024incomplete | 12,563 | $411K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 45% | 6,233 | 4,446 | $637K |
| 70450 | Computed tomography, head or brain; without contrast material | 9.3% | 2,933 | 2,046 | $132K |
| 71045 | Radiologic examination, chest; single view | 5.9% | 11,872 | 7,686 | $84K |
| 71046 | Radiologic examination, chest; 2 views | 5.7% | 8,993 | 6,728 | $82K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 963 | 797 | $71K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 4.4% | 705 | 395 | $63K |
| 74018 | 3.9% | 6,834 | 4,013 | $56K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.6% | 411 | 342 | $37K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 2.4% | 325 | 71 | $35K |
| 72100 | 2.2% | 3,350 | 2,437 | $32K | |
| 76770 | 1.9% | 305 | 254 | $27K | |
| 76872 | 1.9% | 227 | 179 | $26K |
33 more codes
| 76641 | 1.8% | 458 | $26K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.6% | 677 | $23K |
| 74178 | 1.6% | 192 | $22K | |
| 72040 | <1% | 1,162 | $10K | |
| 50590 | <1% | 12 | $7K | |
| 77066 | Tomosynthesis, mammo | <1% | 173 | $6K |
| 72170 | <1% | 700 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 155 | $5K |
| 73562 | <1% | 131 | $5K | |
| 51741 | <1% | 128 | $5K | |
| 73565 | <1% | 348 | $4K | |
| 76857 | <1% | 93 | $4K | |
| 73560 | <1% | 477 | $4K | |
| 76870 | <1% | 44 | $3K | |
| 73030 | <1% | 301 | $3K | |
| 93970 | <1% | 38 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 68 | $2K |
| 90461 | <1% | 155 | $2K | |
| 76000 | <1% | 392 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 262 | $2K |
| 77080 | <1% | 62 | $864.59 | |
| 73620 | <1% | 120 | $767.09 | |
| 74019 | <1% | 74 | $698.97 | |
| 73120 | <1% | 60 | $388.00 | |
| 73590 | <1% | 27 | $203.96 | |
| 73600 | <1% | 28 | $176.17 | |
| 73090 | <1% | 14 | $108.00 | |
| 90670 | 0% | 46 | $0.00 | |
| 90655 | 0% | 35 | $0.00 | |
| 90707 | 0% | 15 | $0.00 | |
| 90656 | 0% | 64 | $0.00 | |
| 90716 | 0% | 56 | $0.00 | |
| 90647 | 0% | 16 | $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 officialALVARADO, RAFAEL (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Metro Ponce INC | Ponce, PR | $218K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.