Adm Servicios Medicos De Puerto Rico

Adm Servicios Medicos De Puerto Rico was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99245, — 33% of everything it billed.

33Billing provider infoADM SERVICIOS MEDICOS DE PUERTO RICO
SAN JUAN, PR 00922

33aNPI1760698096assigned 05/15/2007

33bProvider typeDental Clinic/Center

28Total paid$1.17M

24GClaims31,416

24DCodes billed42

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dental Clinic/Center providers in Puerto Rico

Rank by total paid#3 of 81

Median peer was paid$94K

This provider vs. median13×

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	13,874	$418K
2019	1,852	$38K
2020	1,110	$39K
2021	3,097	$104K
2022	1,450	$57K
2023	4,493	$217K
2024incomplete	5,540	$301K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99245		33%	11,132	5,866	$383K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	24%	5,277	3,628	$286K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	22%	7,833	6,507	$253K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	6.5%	1,551	1,345	$76K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.4%	519	329	$51K
31575		2.9%	367	263	$34K
95819		2.0%	672	539	$24K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	144	72	$8K
D1999		<1%	596	549	$8K
0002A		<1%	264	219	$7K
71045	Radiologic examination, chest; single view	<1%	724	473	$6K
29515		<1%	94	55	$5K

30 more codes

0001A		<1%	259	$4K
D1110	Prophylaxis - adult	<1%	129	$4K
70450	Computed tomography, head or brain; without contrast material	<1%	91	$4K
88142		<1%	185	$3K
29125		<1%	103	$3K
12002		<1%	21	$1K
72190		<1%	151	$1K
99232	Hospital visit by a doctor, follow-up day	<1%	27	$1K
73130		<1%	99	$1K
70553	Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences	<1%	12	$1K
0031A		<1%	23	$920.00
72082		<1%	54	$910.94
D0150	Comprehensive oral evaluation - new or established patient	<1%	50	$839.15
73590		<1%	86	$742.95
94726		<1%	25	$736.15
73552		<1%	70	$600.60
73610		<1%	63	$574.87
73090		<1%	38	$384.16
93005	Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report	<1%	367	$331.62
D0140	Limited oral evaluation - problem focused	<1%	19	$288.71
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	95	$278.80
73521		<1%	42	$262.07
73070		<1%	34	$260.10
73560		<1%	24	$256.28
94729		<1%	12	$249.12
92081		<1%	13	$176.00
73060		<1%	17	$138.82
73600		<1%	39	$137.12
73100		<1%	18	$136.80
97602		<1%	77	$121.00

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 officialCARTAGENA, JOSE (BILLER OFFICER)