Physician H.M.O. INC.
Physician H.M.O. INC. was paid $535K by Medicaid between Jan 2018 and Dec 2024, across 83 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPHYSICIAN H.M.O. INC.
SAN JUAN, PR 00918
SAN JUAN, PR 00918
33aNPI1730481649assigned 11/29/2010
33bProvider typeIntermediate Emergency Medical Technician
28Total paid$535K
24GClaims718,779
24DCodes billed83
24AFirst – last monthJan 2018 – Dec 2024
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 | 94,170 | $11K | |
| 2019 | 99,039 | $88K | |
| 2020 | 67,969 | $61K | |
| 2021 | 130,371 | $140K | |
| 2022 | 130,398 | $66K | |
| 2023 | 115,473 | $94K | |
| 2024incomplete | 81,359 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 107,312 | 91,893 | $233K |
| 96160 | 33% | 6,490 | 6,330 | $175K | |
| 99050 | 13% | 2,070 | 1,871 | $68K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.3% | 4,044 | 3,399 | $23K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.8% | 3,329 | 1,626 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.6% | 11,516 | 10,133 | $9K |
| 99441 | 1.0% | 2,754 | 2,431 | $5K | |
| 99442 | <1% | 2,810 | 2,521 | $5K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 214 | 143 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 7,126 | 5,834 | $820.78 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,747 | 1,311 | $607.44 |
| 99201 | <1% | 507 | 503 | $534.63 |
71 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 604 | $357.17 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 7,627 | $356.59 |
| 90688 | <1% | 716 | $350.34 | |
| 90649 | <1% | 255 | $340.02 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 369 | $322.54 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,422 | $318.45 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 78 | $297.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 248 | $259.50 |
| 99241 | <1% | 17 | $175.00 | |
| 96127 | <1% | 18,494 | $94.66 | |
| 99422 | <1% | 111 | $83.21 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $59.46 |
| 90461 | <1% | 259 | $38.60 | |
| 90670 | <1% | 380 | $12.00 | |
| 90686 | <1% | 300 | $6.00 | |
| 1157F | <1% | 45,865 | $0.06 | |
| 1160F | <1% | 25,491 | $0.01 | |
| 3725F | <1% | 25,821 | $0.01 | |
| 1158F | 0% | 29,536 | $0.00 | |
| 3078F | 0% | 48,788 | $0.00 | |
| 1159F | 0% | 28,785 | $0.00 | |
| 0521F | 0% | 953 | $0.00 | |
| 3077F | 0% | 17,176 | $0.00 | |
| 1032F | 0% | 1,022 | $0.00 | |
| 1090F | 0% | 5,906 | $0.00 | |
| 3045F | 0% | 32 | $0.00 | |
| 90648 | 0% | 94 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 360 | $0.00 |
| 4004F | 0% | 11,435 | $0.00 | |
| 90707 | 0% | 150 | $0.00 | |
| 90633 | 0% | 135 | $0.00 | |
| 3050F | 0% | 346 | $0.00 | |
| 90715 | 0% | 37 | $0.00 | |
| 90734 | 0% | 201 | $0.00 | |
| 96152 | 0% | 47 | $0.00 | |
| 99408 | 0% | 72 | $0.00 | |
| 90700 | 0% | 37 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 25 | $0.00 |
| 3046F | 0% | 48 | $0.00 | |
| 99382 | 0% | 15 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 3075F | 0% | 12,974 | $0.00 | |
| 3008F | 0% | 85,396 | $0.00 | |
| 1036F | 0% | 17,666 | $0.00 | |
| 3079F | 0% | 16,226 | $0.00 | |
| 1125F | 0% | 4,786 | $0.00 | |
| 1126F | 0% | 40,919 | $0.00 | |
| 1031F | 0% | 37,787 | $0.00 | |
| 1170F | 0% | 22,135 | $0.00 | |
| 3080F | 0% | 6,991 | $0.00 | |
| 3074F | 0% | 42,451 | $0.00 | |
| 3048F | 0% | 1,138 | $0.00 | |
| 4000F | 0% | 550 | $0.00 | |
| 99383 | 0% | 80 | $0.00 | |
| 90716 | 0% | 159 | $0.00 | |
| 3044F | 0% | 757 | $0.00 | |
| 3049F | 0% | 607 | $0.00 | |
| 3014F | 0% | 83 | $0.00 | |
| 1111F | 0% | 525 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 0509F | 0% | 99 | $0.00 | |
| 1035F | 0% | 613 | $0.00 | |
| 96150 | 0% | 45 | $0.00 | |
| 3017F | 0% | 272 | $0.00 | |
| 90620 | 0% | 134 | $0.00 | |
| 90696 | 0% | 47 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 90651 | 0% | 38 | $0.00 | |
| 99381 | 0% | 25 | $0.00 | |
| 90650 | 0% | 37 | $0.00 | |
| 90698 | 0% | 13 | $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 officialVILLALOBOS DIAZ, RAUL (PRESIDENTE)