Clinic
Juncos First Medical Center INC.
Juncos First Medical Center INC. was paid $27K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99211, Office or other outpatient visit for the evaluation and management of an established patient, minimal severity — 80% of everything it billed.
33Billing provider infoJUNCOS FIRST MEDICAL CENTER INC.
JUNCOS, PR 00777
JUNCOS, PR 00777
33aNPI1770569295assigned 12/16/2005
33bProvider typePrimary Care Clinic/Center
28Total paid$27K
24GClaims116,076
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#26 of 65
Median peer was paid$9K
This provider vs. median3.2×
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 | 27,513 | $776.15 | |
| 2019 | 20,563 | $2K | |
| 2020 | 8,830 | $403.84 | |
| 2021 | 5,290 | $6K | |
| 2022 | 19,702 | $13K | |
| 2023 | 21,048 | $4K | |
| 2024incomplete | 13,130 | $889.57 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 80% | 3,712 | 3,312 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 25,972 | 20,020 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 9,696 | 7,824 | $528.30 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.3% | 3,459 | 2,703 | $348.32 |
| 96160 | 1.0% | 87 | 33 | $270.00 | |
| 99442 | <1% | 3,002 | 2,553 | $45.48 | |
| 1159F | <1% | 11,969 | 10,758 | $0.01 | |
| 1160F | <1% | 12,496 | 11,182 | $0.01 | |
| 1158F | <1% | 1,325 | 1,233 | $0.01 | |
| 3078F | 0% | 4,019 | 3,523 | $0.00 | |
| 0521F | 0% | 52 | 48 | $0.00 | |
| 3077F | 0% | 2,182 | 1,966 | $0.00 |
37 more codes
| 1033F | 0% | 1,566 | $0.00 | |
| 0518F | 0% | 1,207 | $0.00 | |
| 2014F | 0% | 149 | $0.00 | |
| 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 | 0% | 90 | $0.00 |
| G0247 | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails | 0% | 1,043 | $0.00 |
| 3342F | 0% | 32 | $0.00 | |
| 2028F | 0% | 69 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 98 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 164 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 48 | $0.00 |
| 3028F | 0% | 37 | $0.00 | |
| 3050F | 0% | 14 | $0.00 | |
| G9458 | Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use, counseling on the benefits of quitting smoking or tobacco use, assistance with or referral to external smoking or tobacco cessation support programs, or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | 0% | 17 | $0.00 |
| 3075F | 0% | 1,275 | $0.00 | |
| 1126F | 0% | 5,695 | $0.00 | |
| 99441 | 0% | 3,736 | $0.00 | |
| 3080F | 0% | 301 | $0.00 | |
| 3044F | 0% | 551 | $0.00 | |
| 3008F | 0% | 10,121 | $0.00 | |
| 1125F | 0% | 1,072 | $0.00 | |
| 3011F | 0% | 470 | $0.00 | |
| 3074F | 0% | 3,070 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,534 | $0.00 |
| 3017F | 0% | 229 | $0.00 | |
| 1170F | 0% | 1,586 | $0.00 | |
| 1036F | 0% | 203 | $0.00 | |
| 3079F | 0% | 2,368 | $0.00 | |
| 3048F | 0% | 245 | $0.00 | |
| 3061F | 0% | 178 | $0.00 | |
| 3049F | 0% | 123 | $0.00 | |
| 2010F | 0% | 203 | $0.00 | |
| 1000F | 0% | 28 | $0.00 | |
| 2000F | 0% | 325 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 23 | $0.00 |
| 2001F | 0% | 203 | $0.00 | |
| 96127 | 0% | 14 | $0.00 | |
| 3014F | 0% | 18 | $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 officialRAMOS, ZULMA (PRESIDENT)