Clinic
SM Imaging PSC
SM Imaging PSC was paid $38K by Medicaid between Jan 2018 and Jun 2024, across 10 billing codes. Its largest line is 99152, — 21% of everything it billed.
33Billing provider infoSM IMAGING PSC
MANATI, PR 00974
MANATI, PR 00974
33aNPI1770915894assigned 07/31/2013
33bProvider typeMammography Clinic/Center
28Total paid$38K
24GClaims1,955
24DCodes billed10
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Mammography Clinic/Center providers in Puerto Rico
Rank by total paid#15 of 19
Median peer was paid$350K
This provider vs. median0.1×
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 | 159 | $694.44 | |
| 2019 | 653 | $8K | |
| 2020 | 373 | $4K | |
| 2021 | 95 | $2K | |
| 2022 | 305 | $8K | |
| 2023 | 161 | $5K | |
| 2024incomplete | 209 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99152 | 21% | 585 | 544 | $8K | |
| 99153 | Mod sedat endo service >5yrs | 20% | 563 | 525 | $7K |
| 99223 | Prolong inpt eval add15 m | 18% | 49 | 25 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 121 | 104 | $6K |
| 36902 | 8.4% | 28 | 24 | $3K | |
| 77001 | 6.6% | 332 | 305 | $2K | |
| 76937 | 3.4% | 193 | 177 | $1K | |
| 99217 | 2.4% | 33 | 31 | $891.60 | |
| 99242 | 2.3% | 39 | 39 | $862.00 | |
| 77012 | <1% | 12 | 12 | $257.88 |
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 officialDIAZ, ANTONIO (PRESIDENT SMI)
| Provider | Location | Paid |
|---|---|---|
| Clinical Care Network, INC | Miami, FL | $858.59 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.