Betancourt Borges, Francisco

Betancourt Borges, Francisco was paid $291K by Medicaid between Jan 2018 and Jul 2024, across 18 billing codes. Its largest line is 99219, — 28% of everything it billed.

33Billing provider infoBETANCOURT BORGES, FRANCISCO
COAMO, PR 00769

33aNPI1801129044assigned 09/04/2009

33bProvider typeGeneral Acute Care Hospital

28Total paid$291K

24GClaims5,772

24DCodes billed18

24AFirst – last monthJan 2018 – Jul 2024

Compared with peers

Next to other General Acute Care Hospital providers in Puerto Rico

Rank by total paid#32 of 58

Median peer was paid$486K

This provider vs. median0.6×

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	1,003	$41K
2019	785	$49K
2020	711	$48K
2021	1,292	$61K
2022	848	$46K
2023	348	$17K
2024incomplete	785	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99219		28%	948	887	$82K
99218		26%	1,507	1,357	$75K
99234		17%	692	618	$50K
99222	Initial hospital care, per day, moderate complexity	8.1%	222	147	$24K
96360	Intravenous infusion, hydration; initial, 31 minutes to 1 hour	6.2%	607	490	$18K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	4.0%	303	301	$12K
99238	Hospital discharge day management, 30 minutes or less	2.7%	165	127	$8K
96361	Intravenous infusion, hydration; each additional hour	2.3%	534	445	$7K
99221		1.5%	102	95	$5K
96374	Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance	1.1%	188	147	$3K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	267	257	$2K
99217		<1%	41	40	$2K

6 more codes

99235		<1%	12	$1K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	101	$1K
99285	Emergency room visit (most serious)	<1%	15	$1K
99213	Doctor's office visit, returning patient (routine)	<1%	15	$209.00
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	0%	35	$0.00
99214	Doctor's office visit, returning patient (more involved)	0%	18	$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.