Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Gobierno Municipal De Cayey

Gobierno Municipal De Cayey was paid $1.00M by Medicaid between Feb 2018 and Dec 2024, across 48 billing codes. Its largest line is 99051, — 48% of everything it billed.

33Billing provider infoGOBIERNO MUNICIPAL DE CAYEY
CAYEY, PR 00736
33aNPI1801800776assigned 07/28/2006
33bProvider typeClinic/Center
28Total paid$1.00M
24GClaims39,065
24DCodes billed48
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#5 of 117
Median peer was paid$38K
This provider vs. median27×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
2018722$7K
20192,798$72K
20205,770$88K
20219,460$216K
20226,295$202K
20238,941$315K
2024incomplete5,079$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99051 48% 11,548 10,020 $482K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 19% 2,579 1,707 $191K
S9083 Global fee urgent care centers 5.9% 1,483 1,273 $59K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4.0% 5,561 4,059 $40K
90649 3.2% 941 595 $32K
90472 Immunization administration, each additional vaccine (list separately) 2.9% 3,155 1,852 $29K
0002A 2.8% 1,603 1,060 $28K
0001A 2.6% 1,624 1,078 $26K
0003A 2.4% 613 599 $24K
90734 1.6% 489 336 $16K
90670 <1% 325 258 $9K
0013A <1% 194 190 $7K
36 more codes
0124A <1% 174 $6K
90656 <1% 3,792 $6K
99283 Emergency room visit (moderate) <1% 623 $6K
90620 <1% 119 $6K
90716 <1% 185 $5K
90715 <1% 390 $5K
0071A <1% 116 $4K
0072A <1% 118 $4K
0054A <1% 101 $4K
90707 <1% 193 $3K
0004A <1% 172 $2K
99285 Emergency room visit (most serious) <1% 108 $2K
90633 <1% 104 $1K
0064A <1% 23 $920.00
90460 Immunization administration through 18 years of age via any route, first or only component <1% 918 $873.24
90621 <1% 25 $530.60
90648 <1% 98 $302.39
90461 <1% 633 $200.10
90680 <1% 32 $200.00
90655 <1% 178 $198.03
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 204 $0.25
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 79 $0.14
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 21 $0.13
91305 0% 60 $0.00
90698 0% 26 $0.00
90677 0% 96 $0.00
91306 0% 16 $0.00
90723 0% 13 $0.00
91312 0% 174 $0.00
90700 0% 51 $0.00
91300 0% 27 $0.00
A0429 Emergency ambulance ride, basic life support 0% 13 $0.00
90658 0% 14 $0.00
90623 0% 25 $0.00
A0425 Ground mileage, per statute mile 0% 13 $0.00
90713 0% 16 $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 officialORTIZ, ROLANDO (MAYOR)
Same official

Other billing entities under ORTIZ, ROLANDO

Full network →
ProviderLocationPaid
DR. Rolando Ortiz, Optometrist, PLLCCary, NC$883K
Gobierno Municipal De CayeyCayey, PR$207K
Gobierno Municipal De CayeyCayey, PR$95K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.