Clinic
CRM Grupo Profesional Medicos, CSP
CRM Grupo Profesional Medicos, CSP was paid $657K by Medicaid between Jan 2018 and Oct 2024, across 113 billing codes. Its largest line is 97012, — 41% of everything it billed.
33Billing provider infoCRM GRUPO PROFESIONAL MEDICOS, CSP
TOA BAJA, PR 00949
TOA BAJA, PR 00949
33aNPI1770771214assigned 10/10/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$657K
24GClaims430,806
24DCodes billed113
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#3 of 65
Median peer was paid$9K
This provider vs. median77×
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 | 52,269 | $134K | |
| 2019 | 35,884 | $65K | |
| 2020 | 28,102 | $114K | |
| 2021 | 41,359 | $162K | |
| 2022 | 51,498 | $61K | |
| 2023 | 120,734 | $56K | |
| 2024incomplete | 100,960 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97012 | 41% | 19,630 | 3,919 | $269K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 25% | 10,920 | 9,356 | $162K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 15% | 1,324 | 1,154 | $96K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 4.3% | 1,572 | 809 | $28K |
| 99205 | Prolong outpt/office vis | 2.2% | 295 | 245 | $14K |
| 76830 | Ultrasound, transvaginal | 1.9% | 722 | 405 | $13K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 1.9% | 823 | 422 | $13K |
| 76536 | 1.6% | 728 | 379 | $10K | |
| 72100 | 1.2% | 1,883 | 975 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 318 | 152 | $6K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,431 | 711 | $6K |
| 96160 | <1% | 7,023 | 5,103 | $5K |
101 more codes
| 72040 | <1% | 1,157 | $5K | |
| 73560 | <1% | 1,383 | $4K | |
| 76770 | <1% | 146 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 46,358 | $2K |
| 73030 | <1% | 667 | $2K | |
| 73620 | <1% | 699 | $2K | |
| 71045 | Radiologic examination, chest; single view | <1% | 531 | $2K |
| 72070 | <1% | 409 | $2K | |
| 74018 | <1% | 582 | $1K | |
| 73120 | <1% | 404 | $1K | |
| 73502 | <1% | 156 | $964.48 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 107,847 | $811.88 |
| 99441 | <1% | 22,196 | $557.31 | |
| 73630 | <1% | 78 | $284.53 | |
| 73100 | <1% | 53 | $244.80 | |
| 70220 | <1% | 26 | $242.40 | |
| 99442 | <1% | 6,770 | $233.49 | |
| 70250 | <1% | 15 | $135.94 | |
| 70260 | <1% | 40 | $124.10 | |
| 70210 | <1% | 22 | $78.60 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 20,215 | $71.07 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 391 | $58.52 |
| 99386 | <1% | 658 | $56.16 | |
| 97802 | <1% | 481 | $53.74 | |
| 93000 | <1% | 1,870 | $34.00 | |
| 99385 | <1% | 306 | $28.08 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,570 | $23.69 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,107 | $23.69 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 8,839 | $23.69 |
| 99397 | <1% | 2,539 | $23.69 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 778 | $23.69 |
| 1170F | 0% | 3,384 | $0.00 | |
| 3075F | 0% | 6,199 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 11,685 | $0.00 |
| 3074F | 0% | 21,335 | $0.00 | |
| 99050 | 0% | 10,953 | $0.00 | |
| 1125F | 0% | 869 | $0.00 | |
| 86580 | 0% | 1,849 | $0.00 | |
| 3079F | 0% | 6,607 | $0.00 | |
| 90656 | 0% | 59 | $0.00 | |
| 3044F | 0% | 1,204 | $0.00 | |
| 1126F | 0% | 2,798 | $0.00 | |
| 3008F | 0% | 6,760 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 5,051 | $0.00 |
| 96127 | 0% | 3,195 | $0.00 | |
| 3080F | 0% | 2,775 | $0.00 | |
| 3061F | 0% | 650 | $0.00 | |
| 1111F | 0% | 566 | $0.00 | |
| 99443 | 0% | 97 | $0.00 | |
| 90680 | 0% | 17 | $0.00 | |
| 3017F | 0% | 1,214 | $0.00 | |
| 99384 | 0% | 492 | $0.00 | |
| 76641 | 0% | 73 | $0.00 | |
| 91301 | 0% | 54 | $0.00 | |
| 1030F | 0% | 150 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 24 | $0.00 |
| 4010F | 0% | 47 | $0.00 | |
| 1022F | 0% | 148 | $0.00 | |
| 3048F | 0% | 165 | $0.00 | |
| 3014F | 0% | 140 | $0.00 | |
| 92551 | 0% | 76 | $0.00 | |
| 3049F | 0% | 31 | $0.00 | |
| 90744 | 0% | 32 | $0.00 | |
| 99174 | 0% | 48 | $0.00 | |
| 0011A | 0% | 21 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 42 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 15 | $0.00 |
| 99368 | 0% | 15 | $0.00 | |
| 0012A | 0% | 23 | $0.00 | |
| 99447 | 0% | 14 | $0.00 | |
| 1159F | 0% | 4,501 | $0.00 | |
| 3077F | 0% | 8,989 | $0.00 | |
| 99408 | 0% | 3,865 | $0.00 | |
| 3078F | 0% | 27,348 | $0.00 | |
| 1160F | 0% | 4,260 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 198 | $0.00 |
| 99173 | 0% | 324 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 4,869 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,304 | $0.00 |
| 3050F | 0% | 13 | $0.00 | |
| 83655 | 0% | 403 | $0.00 | |
| 90713 | 0% | 54 | $0.00 | |
| 90649 | 0% | 28 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 168 | $0.00 |
| 90648 | 0% | 46 | $0.00 | |
| 2028F | 0% | 241 | $0.00 | |
| 99446 | 0% | 65 | $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% | 143 | $0.00 |
| 99387 | 0% | 107 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 143 | $0.00 |
| 90734 | 0% | 40 | $0.00 | |
| 99449 | 0% | 80 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 81 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 276 | $0.00 |
| 90700 | 0% | 54 | $0.00 | |
| 1033F | 0% | 84 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 123 | $0.00 |
| 90670 | 0% | 32 | $0.00 | |
| 90473 | 0% | 79 | $0.00 | |
| 97803 | 0% | 34 | $0.00 | |
| 99347 | 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 officialMOYKA, CARLOS (PRESIDENTE)
| Provider | Location | Paid |
|---|---|---|
| CSM Servicios De Cuidado INC. | Toa Baja, PR | $1.60M |
| Centro De Cuidados Dirigidos De Levittown INC | Toa Baja, PR | $41K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.