Clinic
Sports and Pain Interventions PSC
Sports and Pain Interventions PSC was paid $6.05M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 19% of everything it billed.
33Billing provider infoSPORTS AND PAIN INTERVENTIONS PSC
HORMIGUEROS, PR 00660
HORMIGUEROS, PR 00660
33aNPI1770954281assigned 10/09/2015
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$6.05M
24GClaims316,128
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#3 of 53
Median peer was paid$44K
This provider vs. median139×
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 | 13,649 | $159K | |
| 2019 | 27,771 | $364K | |
| 2020 | 31,649 | $534K | |
| 2021 | 40,639 | $776K | |
| 2022 | 35,356 | $704K | |
| 2023 | 41,440 | $827K | |
| 2024incomplete | 125,624 | $2.68M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 19% | 53,391 | 12,254 | $1.16M |
| 97032 | 15% | 61,278 | 13,513 | $913K | |
| 97035 | 14% | 51,876 | 11,788 | $820K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 10,515 | 7,789 | $677K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 11% | 39,332 | 8,532 | $656K |
| 97124 | 10.0% | 41,255 | 9,206 | $604K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.2% | 4,765 | 3,547 | $373K |
| 97161 | 3.6% | 2,365 | 1,038 | $217K | |
| 97010 | 2.8% | 38,673 | 10,708 | $170K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 4,396 | 3,757 | $102K |
| 95911 | 1.6% | 597 | 552 | $97K | |
| 95886 | 1.3% | 655 | 595 | $80K |
17 more codes
| 99241 | <1% | 1,240 | $43K | |
| 99245 | <1% | 807 | $33K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 837 | $30K |
| 97018 | <1% | 2,855 | $25K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 247 | $12K |
| 64493 | <1% | 65 | $8K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 202 | $6K |
| 99070 | <1% | 203 | $5K | |
| 64483 | <1% | 26 | $4K | |
| 20610 | <1% | 82 | $4K | |
| 64494 | <1% | 64 | $2K | |
| 20550 | <1% | 19 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 14 | $2K |
| 64495 | <1% | 39 | $1K | |
| 99201 | <1% | 47 | $1K | |
| 64484 | <1% | 25 | $939.25 | |
| 97799 | 0% | 258 | $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 officialACEVEDO, RAFAEL (PRESIDENT)