Clinic
Continuum Mental Care Corp
Continuum Mental Care Corp was paid $981K by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99441, — 43% of everything it billed.
33Billing provider infoCONTINUUM MENTAL CARE CORP
FAJARDO, PR 00738
FAJARDO, PR 00738
33aNPI1740223973assigned 06/14/2006
28Total paid$981K
24GClaims109,537
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Puerto Rico
Rank by total paid#3 of 61
Median peer was paid$7K
This provider vs. median148×
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 | 28,883 | $20K | |
| 2019 | 15,125 | $62K | |
| 2020 | 14,321 | $140K | |
| 2021 | 17,038 | $361K | |
| 2022 | 13,355 | $292K | |
| 2023 | 11,763 | $59K | |
| 2024incomplete | 9,052 | $47K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 43% | 21,790 | 16,969 | $418K | |
| 99442 | 29% | 8,104 | 6,012 | $287K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 6.8% | 16,983 | 14,002 | $67K |
| 99443 | 6.1% | 1,191 | 814 | $60K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 5.7% | 7,170 | 5,213 | $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 | 4.0% | 17,115 | 15,771 | $39K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.6% | 1,846 | 1,716 | $25K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 3,296 | 1,830 | $7K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 3,002 | 2,657 | $6K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 57 | 38 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,097 | 2,247 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,050 | 1,307 | $2K |
27 more codes
| 90863 | <1% | 2,732 | $2K | |
| 80305 | <1% | 437 | $700.32 | |
| 96127 | <1% | 721 | $468.56 | |
| 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 | <1% | 678 | $458.92 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 2,475 | $283.58 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 128 | $255.04 |
| 99349 | <1% | 543 | $240.00 | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 2,957 | $210.00 |
| 90849 | <1% | 13 | $162.50 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 94 | $85.64 |
| 99401 | <1% | 1,918 | $24.44 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 2,671 | $0.00 |
| 99071 | 0% | 494 | $0.00 | |
| 99348 | 0% | 1,578 | $0.00 | |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | 0% | 705 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 1,297 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 458 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 37 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| 98960 | 0% | 26 | $0.00 | |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 565 | $0.00 |
| 98961 | 0% | 504 | $0.00 | |
| 98962 | 0% | 2,493 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 85 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 183 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 17 | $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 officialPACHECO COLLADO, IVIA (DIRECTOR ADMINISTRATOR)
Parent organizationCONTINUUM MENTAL CARE CORP