Clinic
Policlinica San Pedro PSC
Policlinica San Pedro PSC was paid $3K by Medicaid between Sep 2018 and Mar 2019, across 1 billing code. Its largest line is 99285, emergency room visit (most serious) — 100% of everything it billed.
33Billing provider infoPOLICLINICA SAN PEDRO PSC
ARROYO, PR 00714
ARROYO, PR 00714
33aNPI1821070640assigned 11/17/2005
33bProvider typeEmergency Care Clinic/Center
28Total paid$3K
24GClaims172
24DCodes billed1
24AFirst – last monthSep 2018 – Mar 2019
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#49 of 55
Median peer was paid$175K
This provider vs. median0.0×
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 | 100 | $2K | |
| 2019 | 72 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 100% | 172 | 166 | $3K |
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 officialRIVERA IRIZARRY, LAURA (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| JL Rivera & Sons INC | Guayama, PR | $257K |
| JL Rivera & Sons INC | Guayama, PR | $734.11 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.