Metro Hato Rey INC

Metro Hato Rey INC was paid $151K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 99205, Prolong outpt/office vis — 27% of everything it billed.

33Billing provider infoMETRO HATO REY INC
SAN JUAN, PR 00919

33aNPI1750346151assigned 04/19/2006

33bProvider typeGeneral Acute Care Hospital

28Total paid$151K

24GClaims6,787

24DCodes billed10

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other General Acute Care Hospital providers in Puerto Rico

Rank by total paid#36 of 58

Median peer was paid$486K

This provider vs. median0.3×

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	1,603	$34K
2019	1,198	$15K
2020	1,146	$18K
2021	643	$14K
2022	441	$9K
2023	857	$32K
2024incomplete	899	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99205	Prolong outpt/office vis	27%	442	383	$41K
99223	Prolong inpt eval add15 m	23%	2,092	1,920	$35K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	13%	331	163	$19K
99070		10%	776	663	$16K
93000		9.3%	994	817	$14K
59515		7.5%	121	109	$11K
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	6.8%	1,823	1,704	$10K
90792	Psychiatric diagnostic evaluation with medical services	2.1%	169	149	$3K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	12	12	$825.02
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	27	26	$378.00

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 officialPASTRANA, GULLERMO (EXECUTIVE DIRECTOR)