Clinic
Municipio De Santa Isabel
Municipio De Santa Isabel was paid $1.95M by Medicaid between Jan 2018 and Jul 2024, across 7 billing codes. Its largest line is 99051, — 72% of everything it billed.
33Billing provider infoMUNICIPIO DE SANTA ISABEL
SANTA ISABEL, PR 00757
SANTA ISABEL, PR 00757
33aNPI1831460930assigned 01/20/2012
33bProvider typeEmergency Care Clinic/Center
28Total paid$1.95M
24GClaims41,820
24DCodes billed7
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Emergency Care Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 55
Median peer was paid$175K
This provider vs. median11×
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 | 7,138 | $338K | |
| 2019 | 6,354 | $175K | |
| 2020 | 5,108 | $265K | |
| 2021 | 7,635 | $383K | |
| 2022 | 5,502 | $216K | |
| 2023 | 8,270 | $429K | |
| 2024incomplete | 1,813 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99051 | 72% | 30,444 | 24,903 | $1.41M | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 16% | 6,513 | 5,473 | $318K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 11% | 4,549 | 3,986 | $219K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 45 | 44 | $2K |
| 99220 | <1% | 110 | 77 | $2K | |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 0% | 115 | 109 | $0.00 |
| 93000 | 0% | 44 | 40 | $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 officialRAMOS, RAUL (BILLING AGENT)
| Provider | Location | Paid |
|---|---|---|
| Municipality of Catano | Catano, PR | $486K |
| Municipio De Las Piedras | Las Piedras, PR | $278K |
| Municipio De Santa Isabel | Santa Isabel, PR | $171K |
| Municipio De Las Piedras | Las Piedras, PR | $469.38 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.