PR Healthcare Management Group

PR Healthcare Management Group was paid $480K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99051, — 71% of everything it billed.

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	397	$8K
2019	2,093	$27K
2020	1,118	$26K
2021	4,326	$124K
2022	2,919	$79K
2023	3,890	$158K
2024incomplete	2,033	$59K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99051		71%	5,868	5,101	$342K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.1%	203	202	$25K
0002A		4.2%	544	532	$20K
0001A		3.6%	551	512	$17K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	2,192	1,740	$16K
90472	Immunization administration, each additional vaccine (list separately)	2.3%	1,006	791	$11K
90460	Immunization administration through 18 years of age via any route, first or only component	2.1%	2,236	1,207	$10K
90461		1.1%	905	506	$5K
90651		<1%	542	378	$5K
0003A		<1%	100	96	$4K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	249	193	$3K
0004A		<1%	95	66	$3K

25 more codes

87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	273	$3K
0072A		<1%	71	$3K
90671		<1%	31	$3K
90677		<1%	64	$2K
96365	Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour	<1%	12	$1K
0071A		<1%	32	$1K
99283	Emergency room visit (moderate)	<1%	20	$1K
91307		<1%	158	$920.03
90686		<1%	259	$745.12
90633		<1%	187	$605.60
90697		<1%	26	$576.00
90656		<1%	176	$462.00
90688		<1%	114	$432.36
0124A		<1%	15	$320.00
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	24	$213.64
90715		<1%	114	$203.79
90734		<1%	112	$176.00
90756		<1%	36	$172.21
90670		<1%	122	$152.00
90707		<1%	88	$140.00
90716		<1%	79	$84.00
90649		<1%	14	$54.00
90696		<1%	15	$36.00
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	12	$1.80
91300		0%	231	$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 officialNEGRON, HARRY (PRINCIPAL)