Clinic
Southern Hospital Service INC
Southern Hospital Service INC was paid $715K by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoSOUTHERN HOSPITAL SERVICE INC
VILLALBA, PR 00766
VILLALBA, PR 00766
33aNPI1790804680assigned 03/29/2007
33bProvider typeEmergency Care Clinic/Center
28Total paid$715K
24GClaims145,889
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#11 of 55
Median peer was paid$175K
This provider vs. median4.1×
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 | 19,365 | $26K | |
| 2019 | 23,015 | $90K | |
| 2020 | 16,422 | $132K | |
| 2021 | 21,904 | $236K | |
| 2022 | 21,129 | $187K | |
| 2023 | 25,004 | $44K | |
| 2024incomplete | 19,050 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 79,801 | 57,903 | $521K |
| 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 | 9.5% | 11,278 | 8,947 | $68K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.0% | 3,991 | 3,283 | $43K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 5,562 | 4,477 | $33K |
| 90670 | <1% | 1,388 | 1,118 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,898 | 2,280 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,410 | 1,971 | $4K |
| 0003A | <1% | 88 | 88 | $3K | |
| 0071A | <1% | 92 | 82 | $3K | |
| 0072A | <1% | 81 | 81 | $3K | |
| 91307 | <1% | 188 | 170 | $3K | |
| 90649 | <1% | 1,165 | 906 | $3K |
60 more codes
| 0012A | <1% | 73 | $3K | |
| 0011A | <1% | 68 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 920 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,031 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 813 | $1K |
| 96160 | <1% | 3,331 | $1K | |
| 99383 | <1% | 1,004 | $1K | |
| 0002A | <1% | 90 | $1K | |
| 0001A | <1% | 70 | $694.54 | |
| 96127 | <1% | 1,922 | $661.11 | |
| 99442 | <1% | 1,459 | $626.45 | |
| 90671 | <1% | 161 | $537.76 | |
| 90734 | <1% | 618 | $481.72 | |
| 96156 | <1% | 1,719 | $450.64 | |
| 90461 | <1% | 684 | $414.13 | |
| 90647 | <1% | 23 | $402.11 | |
| 90716 | <1% | 857 | $352.03 | |
| 90707 | <1% | 854 | $302.27 | |
| 99382 | <1% | 634 | $287.76 | |
| 99384 | <1% | 294 | $194.00 | |
| 90633 | <1% | 1,017 | $168.01 | |
| 97802 | <1% | 28 | $120.00 | |
| 99284 | Emergency room visit (serious) | <1% | 166 | $72.00 |
| 99408 | <1% | 107 | $60.00 | |
| 90655 | <1% | 259 | $36.00 | |
| 90656 | <1% | 434 | $30.00 | |
| 96161 | <1% | 81 | $24.00 | |
| 90698 | <1% | 380 | $18.03 | |
| 90744 | <1% | 76 | $12.01 | |
| 96150 | <1% | 2,424 | $10.00 | |
| 90680 | <1% | 85 | $6.00 | |
| 99381 | <1% | 104 | $4.00 | |
| 90681 | <1% | 59 | $0.01 | |
| 3074F | 0% | 3,845 | $0.00 | |
| 3079F | 0% | 1,164 | $0.00 | |
| 90677 | 0% | 198 | $0.00 | |
| 3008F | 0% | 1,884 | $0.00 | |
| 90620 | 0% | 285 | $0.00 | |
| 99422 | 0% | 1,710 | $0.00 | |
| 90696 | 0% | 133 | $0.00 | |
| 1125F | 0% | 264 | $0.00 | |
| 1111F | 0% | 58 | $0.00 | |
| 98962 | 0% | 33 | $0.00 | |
| 1126F | 0% | 1,179 | $0.00 | |
| 90697 | 0% | 14 | $0.00 | |
| 3080F | 0% | 67 | $0.00 | |
| 3048F | 0% | 16 | $0.00 | |
| 90619 | 0% | 87 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 15 | $0.00 |
| 91301 | 0% | 73 | $0.00 | |
| 3051F | 0% | 428 | $0.00 | |
| 90863 | 0% | 130 | $0.00 | |
| 3078F | 0% | 2,752 | $0.00 | |
| 91300 | 0% | 299 | $0.00 | |
| 90715 | 0% | 194 | $0.00 | |
| 96152 | 0% | 30 | $0.00 | |
| 90700 | 0% | 38 | $0.00 | |
| 3077F | 0% | 121 | $0.00 | |
| 90648 | 0% | 59 | $0.00 | |
| 90621 | 0% | 26 | $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 officialSOLDEVILA, FRANCO (ACCOUNTANT)
| Provider | Location | Paid |
|---|---|---|
| Southern Hospital Services | Villalba, PR | $1.59M |
| Southern Hospital Services | Villalba, PR | $964K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.