Physician
Cima Hmo Corp
Cima Hmo Corp was paid $67K by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 83% of everything it billed.
33Billing provider infoCIMA HMO CORP
ISABELA, PR 00662
ISABELA, PR 00662
33aNPI1720455876assigned 08/25/2015
33bProvider typeFamily Medicine Physician
28Total paid$67K
24GClaims116,387
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Puerto Rico
Rank by total paid#31 of 160
Median peer was paid$1K
This provider vs. median59×
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 | 21,011 | $641.24 | |
| 2019 | 17,495 | $3K | |
| 2020 | 15,292 | $7K | |
| 2021 | 9,859 | $7K | |
| 2022 | 12,070 | $8K | |
| 2023 | 18,587 | $40K | |
| 2024incomplete | 22,073 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 83% | 5,175 | 4,783 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.9% | 55,613 | 49,493 | $5K |
| 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 | 4.9% | 4,766 | 4,287 | $3K |
| 99441 | 2.3% | 4,130 | 3,812 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 6,793 | 6,131 | $779.31 |
| 99442 | <1% | 3,186 | 3,018 | $444.96 | |
| 3078F | 0% | 6,210 | 5,852 | $0.00 | |
| 3077F | 0% | 4,975 | 4,660 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 0% | 589 | 574 | $0.00 |
| 3725F | 0% | 69 | 64 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 31 | 28 | $0.00 |
| 3050F | 0% | 24 | 24 | $0.00 |
22 more codes
| 1160F | 0% | 115 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 100 | $0.00 |
| 4035F | 0% | 146 | $0.00 | |
| 1159F | 0% | 119 | $0.00 | |
| 99397 | 0% | 19 | $0.00 | |
| 99499 | 0% | 34 | $0.00 | |
| 3008F | 0% | 12,063 | $0.00 | |
| 3044F | 0% | 192 | $0.00 | |
| 3080F | 0% | 1,723 | $0.00 | |
| 1030F | 0% | 98 | $0.00 | |
| 3061F | 0% | 16 | $0.00 | |
| 3075F | 0% | 2,055 | $0.00 | |
| 3074F | 0% | 3,842 | $0.00 | |
| 3048F | 0% | 243 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 264 | $0.00 |
| 3079F | 0% | 2,729 | $0.00 | |
| 3049F | 0% | 86 | $0.00 | |
| 3017F | 0% | 150 | $0.00 | |
| 1157F | 0% | 425 | $0.00 | |
| 1031F | 0% | 42 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 96 | $0.00 |
| 1170F | 0% | 269 | $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 officialNIEVES, LUIS (PRESIDENT)