Behavioral
Access Medical Group Corp
Access Medical Group Corp was paid $838K by Medicaid between Jan 2018 and Dec 2024, across 92 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoACCESS MEDICAL GROUP CORP
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1811204563assigned 09/01/2010
33bProvider typePsychologist
28Total paid$838K
24GClaims415,593
24DCodes billed92
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Psychologist providers in Puerto Rico
Rank by total paid#4 of 80
Median peer was paid$3K
This provider vs. median316×
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 | 60,831 | $2K | |
| 2019 | 63,973 | $51K | |
| 2020 | 46,288 | $90K | |
| 2021 | 58,998 | $217K | |
| 2022 | 61,206 | $204K | |
| 2023 | 70,731 | $163K | |
| 2024incomplete | 53,566 | $111K |
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 | 43% | 164,056 | 133,339 | $363K |
| 96160 | 27% | 12,096 | 10,724 | $226K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.8% | 3,255 | 3,105 | $57K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 5.7% | 4,002 | 3,755 | $48K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.3% | 654 | 637 | $28K |
| 99442 | 2.8% | 7,743 | 6,519 | $24K | |
| 97802 | 2.4% | 1,702 | 1,564 | $20K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.0% | 807 | 696 | $17K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.4% | 738 | 710 | $12K |
| 99441 | 1.3% | 8,501 | 7,094 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 13,989 | 12,322 | $10K |
| 97803 | 1.2% | 968 | 897 | $10K |
80 more codes
| 99443 | <1% | 363 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 358 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 5,209 | $3K |
| 93000 | <1% | 427 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,932 | $615.95 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,732 | $311.31 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,251 | $260.65 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 236 | $207.45 |
| 96127 | <1% | 2,792 | $170.33 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 1,225 | $165.97 |
| 90837 | Psychotherapy session, about an hour | <1% | 722 | $120.87 |
| 99368 | <1% | 848 | $100.96 | |
| 99050 | <1% | 1,840 | $100.01 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 299 | $94.79 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,206 | $60.19 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,093 | $47.49 |
| 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 | <1% | 1,232 | $41.66 |
| 99386 | <1% | 1,209 | $0.08 | |
| 99385 | <1% | 159 | $0.04 | |
| 99367 | <1% | 60 | $0.03 | |
| 99201 | <1% | 22 | $0.01 | |
| 1111F | <1% | 1,577 | $0.01 | |
| 3077F | 0% | 3,284 | $0.00 | |
| 0521F | 0% | 3,177 | $0.00 | |
| 3725F | 0% | 3,389 | $0.00 | |
| 1160F | 0% | 23,255 | $0.00 | |
| 2028F | 0% | 260 | $0.00 | |
| 1158F | 0% | 2,946 | $0.00 | |
| 4035F | 0% | 966 | $0.00 | |
| 1159F | 0% | 23,136 | $0.00 | |
| 3050F | 0% | 755 | $0.00 | |
| 3078F | 0% | 10,616 | $0.00 | |
| 1090F | 0% | 630 | $0.00 | |
| 99173 | 0% | 696 | $0.00 | |
| 99408 | 0% | 573 | $0.00 | |
| 3045F | 0% | 100 | $0.00 | |
| G0451 | Development testing, with interpretation and report, per standardized instrument form | 0% | 316 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 93 | $0.00 |
| 99397 | 0% | 18 | $0.00 | |
| 5010F | 0% | 18 | $0.00 | |
| 3046F | 0% | 25 | $0.00 | |
| 96158 | 0% | 25 | $0.00 | |
| 0518F | 0% | 12 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 78 | $0.00 |
| 99348 | 0% | 12 | $0.00 | |
| 1033F | 0% | 25 | $0.00 | |
| 3008F | 0% | 35,397 | $0.00 | |
| 1126F | 0% | 14,760 | $0.00 | |
| 3075F | 0% | 3,311 | $0.00 | |
| 1125F | 0% | 5,397 | $0.00 | |
| 3079F | 0% | 5,467 | $0.00 | |
| 3044F | 0% | 1,789 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 526 | $0.00 |
| 92551 | 0% | 542 | $0.00 | |
| 3049F | 0% | 1,432 | $0.00 | |
| 3074F | 0% | 10,834 | $0.00 | |
| 1220F | 0% | 1,535 | $0.00 | |
| 1157F | 0% | 1,753 | $0.00 | |
| 3014F | 0% | 1,123 | $0.00 | |
| 3017F | 0% | 2,204 | $0.00 | |
| 3048F | 0% | 2,322 | $0.00 | |
| 1101F | 0% | 611 | $0.00 | |
| 99383 | 0% | 13 | $0.00 | |
| 1170F | 0% | 1,646 | $0.00 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 0% | 833 | $0.00 |
| 1030F | 0% | 373 | $0.00 | |
| 3061F | 0% | 530 | $0.00 | |
| 3080F | 0% | 1,149 | $0.00 | |
| 3060F | 0% | 54 | $0.00 | |
| 1000F | 0% | 158 | $0.00 | |
| 1005F | 0% | 63 | $0.00 | |
| 2000F | 0% | 67 | $0.00 | |
| 2010F | 0% | 67 | $0.00 | |
| 1036F | 0% | 612 | $0.00 | |
| 4010F | 0% | 144 | $0.00 | |
| 3011F | 0% | 31 | $0.00 | |
| 96150 | 0% | 48 | $0.00 | |
| 2001F | 0% | 67 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $0.00 |
| 1022F | 0% | 13 | $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 officialALVARADO, ARCILIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Advantage Health Center LLC | San Juan, PR | $746K |
| Advantage Medical Group LLC | Orlando, FL | $465K |
| Island Health Center | Bayamon, PR | $378K |
| Access Medical Group Corp | Bayamon, PR | $254K |
| Management Integrated Solution | San Juan, PR | $63K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.