Clinic
Municipio De Guayanilla
Municipio De Guayanilla was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 40 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 31% of everything it billed.
33Billing provider infoMUNICIPIO DE GUAYANILLA
GUAYANILLA, PR 00656
GUAYANILLA, PR 00656
33aNPI1760785174assigned 12/08/2010
33bProvider typeState or Local Public Health Clinic/Center
28Total paid$109K
24GClaims15,557
24DCodes billed40
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other State or Local Public Health Clinic/Center providers in Puerto Rico
Rank by total paid#2 of 11
Median peer was paid$40K
This provider vs. median2.7×
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 | 7,214 | $31K | |
| 2019 | 1,004 | $5K | |
| 2020 | 666 | $3K | |
| 2021 | 2,460 | $39K | |
| 2022 | 1,827 | $19K | |
| 2023 | 1,407 | $9K | |
| 2024incomplete | 979 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 31% | 4,102 | 3,181 | $34K |
| 0002A | 11% | 454 | 345 | $12K | |
| 0001A | 11% | 414 | 399 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10% | 1,350 | 1,181 | $11K |
| 90461 | 6.5% | 1,104 | 670 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.2% | 549 | 479 | $7K |
| 0004A | 5.2% | 203 | 164 | $6K | |
| 0003A | 3.9% | 110 | 108 | $4K | |
| 0072A | 3.4% | 95 | 95 | $4K | |
| 90686 | 2.3% | 823 | 727 | $2K | |
| 90651 | 1.7% | 774 | 702 | $2K | |
| 91307 | 1.7% | 173 | 155 | $2K |
28 more codes
| 90670 | 1.5% | 654 | $2K | |
| 0071A | 1.2% | 36 | $1K | |
| 90715 | <1% | 389 | $998.91 | |
| 90677 | <1% | 54 | $505.16 | |
| 0054A | <1% | 17 | $400.00 | |
| 90685 | <1% | 214 | $376.00 | |
| 90656 | <1% | 97 | $244.00 | |
| 90734 | <1% | 486 | $204.09 | |
| 90688 | <1% | 100 | $196.00 | |
| 90633 | <1% | 132 | $120.00 | |
| 90716 | <1% | 363 | $120.00 | |
| 90707 | <1% | 292 | $56.00 | |
| 90702 | <1% | 697 | $48.00 | |
| 90648 | 0% | 170 | $0.00 | |
| 90713 | 0% | 33 | $0.00 | |
| 90658 | 0% | 356 | $0.00 | |
| 90681 | 0% | 283 | $0.00 | |
| 91300 | 0% | 118 | $0.00 | |
| 90714 | 0% | 52 | $0.00 | |
| 90700 | 0% | 21 | $0.00 | |
| 90621 | 0% | 12 | $0.00 | |
| 90620 | 0% | 286 | $0.00 | |
| 90657 | 0% | 24 | $0.00 | |
| 90647 | 0% | 41 | $0.00 | |
| 90744 | 0% | 209 | $0.00 | |
| 90634 | 0% | 236 | $0.00 | |
| 90697 | 0% | 19 | $0.00 | |
| 90632 | 0% | 15 | $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 officialARLEQUIN, EDGARDO (MAYOR)
| Provider | Location | Paid |
|---|---|---|
| Municipio De Guayanilla | Guayanilla, PR | $839K |
| Municipio De Guayanilla | Guayanilla, PR | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.