Clinic
Vega Alta Community Health
Vega Alta Community Health was paid $383K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99051, — 61% of everything it billed.
33Billing provider infoVEGA ALTA COMMUNITY HEALTH
VEGA ALTA, PR 00692
VEGA ALTA, PR 00692
33aNPI1730125584assigned 06/21/2006
33bProvider typeEmergency Care Clinic/Center
28Total paid$383K
24GClaims20,822
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#18 of 55
Median peer was paid$175K
This provider vs. median2.2×
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 | 164 | $5K | |
| 2019 | 175 | $980.20 | |
| 2020 | 937 | $20K | |
| 2021 | 6,713 | $103K | |
| 2022 | 4,168 | $59K | |
| 2023 | 4,114 | $122K | |
| 2024incomplete | 4,551 | $74K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 61% | 3,828 | 3,091 | $235K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10% | 4,444 | 3,656 | $39K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.2% | 2,600 | 2,125 | $28K |
| 0012A | 4.4% | 481 | 466 | $17K | |
| 0011A | 3.0% | 424 | 417 | $12K | |
| 0002A | 2.8% | 372 | 360 | $11K | |
| 0001A | 2.0% | 402 | 383 | $8K | |
| 90688 | 1.6% | 981 | 836 | $6K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.2% | 31 | 28 | $5K |
| 0013A | 1.2% | 120 | 120 | $5K | |
| 90649 | 1.1% | 745 | 632 | $4K | |
| 90715 | <1% | 312 | 262 | $3K |
30 more codes
| 90716 | <1% | 641 | $3K | |
| 90707 | <1% | 639 | $2K | |
| 90677 | <1% | 224 | $1K | |
| 0071A | <1% | 32 | $1K | |
| 72100 | <1% | 48 | $941.82 | |
| 90620 | <1% | 99 | $901.25 | |
| 90670 | <1% | 277 | $584.47 | |
| 90696 | <1% | 187 | $545.72 | |
| 0003A | <1% | 12 | $480.00 | |
| 90734 | <1% | 259 | $236.86 | |
| 90657 | <1% | 37 | $235.82 | |
| 90686 | <1% | 27 | $222.65 | |
| 90634 | <1% | 300 | $213.25 | |
| 90700 | <1% | 144 | $188.64 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 899 | $137.01 |
| 90662 | <1% | 49 | $41.06 | |
| 90633 | <1% | 104 | $11.00 | |
| 90623 | <1% | 61 | $0.02 | |
| G0008 | Administration of influenza virus vaccine | 0% | 18 | $0.00 |
| 91301 | 0% | 889 | $0.00 | |
| 90619 | 0% | 58 | $0.00 | |
| 90744 | 0% | 29 | $0.00 | |
| 91307 | 0% | 59 | $0.00 | |
| 90723 | 0% | 14 | $0.00 | |
| 90647 | 0% | 31 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 38 | $0.00 |
| 90621 | 0% | 12 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| 91300 | 0% | 857 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 24 | $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 officialGONZALEZ BERMUDEZ, LUIS (DIRECTOR MEDICO)
| Provider | Location | Paid |
|---|---|---|
| Vega Alta Community Health | Vega Alta, PR | $918K |
| Dorado Community Health INC | Dorado, PR | $298K |
| Dorado Community Health INC | Dorado, PR | $162K |
| First Medical Center INC | Comerio, PR | $31K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.