Specialty Family Clinic, INC.
Specialty Family Clinic, INC. was paid $95K by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 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 — 52% of everything it billed.
VILLALBA, PR 00766
Next to other Primary Care Clinic/Center providers in Puerto Rico
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,021 | $2K | |
| 2019 | 25,322 | $6K | |
| 2020 | 14,620 | $11K | |
| 2021 | 19,384 | $39K | |
| 2022 | 22,408 | $22K | |
| 2023 | 25,500 | $11K | |
| 2024incomplete | 22,119 | $4K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 31,159 | 26,858 | $49K |
| 90461 | 8.8% | 1,513 | 1,223 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.5% | 2,448 | 1,947 | $8K |
| 99441 | 8.3% | 19,634 | 16,706 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 244 | 172 | $4K |
| 96160 | 3.2% | 678 | 526 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.9% | 150 | 87 | $3K |
| 0012A | 2.6% | 63 | 63 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 28,351 | 24,227 | $2K |
| 0004A | 1.8% | 91 | 68 | $2K | |
| 0011A | 1.4% | 35 | 35 | $1K | |
| 0072A | 1.1% | 25 | 25 | $1K |
57 more codes
| 0064A | <1% | 39 | $920.00 | |
| 90651 | <1% | 394 | $539.73 | |
| 0071A | <1% | 12 | $480.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,032 | $405.06 |
| 90677 | <1% | 33 | $321.94 | |
| 90734 | <1% | 367 | $291.28 | |
| 0002A | <1% | 15 | $284.83 | |
| 0001A | <1% | 13 | $233.92 | |
| 99401 | <1% | 20 | $115.00 | |
| 90686 | <1% | 475 | $92.18 | |
| 99050 | <1% | 4,425 | $1.47 | |
| 90688 | <1% | 67 | $0.67 | |
| 96150 | <1% | 943 | $0.02 | |
| 96127 | <1% | 1,084 | $0.01 | |
| 90620 | <1% | 299 | $0.01 | |
| 3725F | 0% | 692 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 119 | $0.00 |
| 1160F | 0% | 11,833 | $0.00 | |
| 1159F | 0% | 11,904 | $0.00 | |
| 3078F | 0% | 6,300 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 99 | $0.00 |
| 90621 | 0% | 25 | $0.00 | |
| 3077F | 0% | 368 | $0.00 | |
| 91300 | 0% | 123 | $0.00 | |
| 98968 | 0% | 317 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 131 | $0.00 |
| 90633 | 0% | 133 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 42 | $0.00 |
| 99408 | 0% | 26 | $0.00 | |
| 90670 | 0% | 44 | $0.00 | |
| 90715 | 0% | 36 | $0.00 | |
| 2028F | 0% | 34 | $0.00 | |
| 99173 | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 16 | $0.00 |
| 98966 | 0% | 22 | $0.00 | |
| 90707 | 0% | 34 | $0.00 | |
| 90863 | 0% | 13 | $0.00 | |
| 1126F | 0% | 5,612 | $0.00 | |
| 3074F | 0% | 6,826 | $0.00 | |
| 1157F | 0% | 762 | $0.00 | |
| 3008F | 0% | 9,783 | $0.00 | |
| 1125F | 0% | 1,963 | $0.00 | |
| 3079F | 0% | 1,420 | $0.00 | |
| 91301 | 0% | 132 | $0.00 | |
| 3075F | 0% | 196 | $0.00 | |
| 98962 | 0% | 359 | $0.00 | |
| 1170F | 0% | 1,417 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 297 | $0.00 |
| 3048F | 0% | 189 | $0.00 | |
| 96161 | 0% | 90 | $0.00 | |
| 90716 | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 67 | $0.00 |
| 3017F | 0% | 129 | $0.00 | |
| 91307 | 0% | 47 | $0.00 | |
| 91306 | 0% | 37 | $0.00 | |
| 90656 | 0% | 53 | $0.00 | |
| 3049F | 0% | 41 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Map Health Systems INC | Villalba, PR | $431K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.