Hospital
Municipality of San Juan
Municipality of San Juan was paid $4.53M by Medicaid between Jan 2018 and Oct 2024, across 55 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 34% of everything it billed.
33Billing provider infoMUNICIPALITY OF SAN JUAN
SAN JUAN, PR 00936
SAN JUAN, PR 00936
33aNPI1750667572assigned 10/25/2011
33bProvider typeGeneral Acute Care Hospital
28Total paid$4.53M
24GClaims136,169
24DCodes billed55
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other General Acute Care Hospital providers in Puerto Rico
Rank by total paid#2 of 58
Median peer was paid$486K
This provider vs. median9.3×
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 | 29,069 | $452K | |
| 2019 | 27,938 | $470K | |
| 2020 | 15,772 | $332K | |
| 2021 | 16,322 | $844K | |
| 2022 | 16,859 | $827K | |
| 2023 | 17,715 | $915K | |
| 2024incomplete | 12,494 | $688K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 34% | 30,476 | 24,504 | $1.53M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 18% | 24,672 | 4,592 | $811K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.9% | 6,755 | 5,901 | $403K |
| 99245 | 7.6% | 7,782 | 7,193 | $343K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 2,829 | 2,613 | $215K |
| 99221 | 4.5% | 4,543 | 4,143 | $202K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 4,547 | 4,147 | $150K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 2.9% | 4,655 | 3,348 | $129K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.0% | 1,836 | 1,050 | $93K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 8,168 | 6,131 | $72K |
| 99251 | 1.5% | 2,525 | 1,596 | $66K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.1% | 1,342 | 916 | $50K |
43 more codes
| 71045 | Radiologic examination, chest; single view | <1% | 10,620 | $45K |
| 76830 | Ultrasound, transvaginal | <1% | 2,334 | $45K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 2,328 | $38K |
| 99252 | <1% | 1,527 | $38K | |
| 99223 | Prolong inpt eval add15 m | <1% | 311 | $28K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,117 | $28K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 6,020 | $25K |
| 71250 | <1% | 979 | $19K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 119 | $18K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 500 | $18K |
| 97032 | <1% | 820 | $16K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 862 | $15K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,100 | $14K |
| 97035 | <1% | 700 | $13K | |
| 97124 | <1% | 648 | $11K | |
| 97010 | <1% | 952 | $10K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 976 | $10K |
| 74240 | <1% | 368 | $9K | |
| 97163 | <1% | 375 | $8K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 17 | $8K |
| 76770 | <1% | 531 | $8K | |
| 74241 | <1% | 552 | $7K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 506 | $6K |
| 99292 | <1% | 70 | $4K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 37 | $4K |
| 58100 | <1% | 62 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 35 | $3K |
| 76810 | <1% | 90 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 688 | $2K |
| 76536 | <1% | 184 | $2K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 58 | $2K |
| 74178 | <1% | 39 | $1K | |
| 94726 | <1% | 18 | $1K | |
| 94060 | <1% | 18 | $873.50 | |
| 94729 | <1% | 18 | $864.00 | |
| 97167 | <1% | 21 | $482.22 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 19 | $354.30 |
| 99442 | <1% | 120 | $310.70 | |
| 72100 | <1% | 28 | $303.91 | |
| 74018 | <1% | 30 | $82.51 | |
| 99443 | <1% | 82 | $81.44 | |
| 88147 | 0% | 20 | $0.00 | |
| 59025 | Fetal non-stress test | 0% | 140 | $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 officialVEGA DE JESUS, MARITZA (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Grupo Radiologico CDT DR Gualberto Rabell | San Juan, PR | $350K |
| Grupo Dental Dr.Oliveras Guerras | San Juan, PR | $198K |
| Grupo Dental CDT DR. Lopez Antongiorgi | San Juan, PR | $38K |
| Centro Radiologico DR. Enrique Koppish | San Juan, PR | $33K |
| Grupo Dental Dr.Gualberto Rabell | San Juan, PR | $28K |
| Grupo Radiologico DR Javier Javier Anton | San Juan, PR | $13K |
| Grupo Radiologico DR. Arnaldo J Garcia | San Juan, PR | $9K |
| Grupo Radiologico DR Lopez Antogiorgi | San Juan, PR | $8K |
| Grupo Radiologico DR Oliveras Guerras | San Juan, PR | $7K |
| Grupo Dental DR. Jose S Belaval | San Juan, PR | $287.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.