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

Saint Lukes Memorial Hospital INC

Saint Lukes Memorial Hospital INC was paid $2.48M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 76811, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed — 66% of everything it billed.

33Billing provider infoSAINT LUKES MEMORIAL HOSPITAL INC
PONCE, PR 00716
33aNPI1841295557assigned 06/17/2005
28Total paid$2.48M
24GClaims42,411
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
20184,940$181K
20199,682$299K
20205,105$250K
20215,772$374K
20224,491$308K
20234,891$403K
2024incomplete7,530$666K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 66% 14,676 11,741 $1.65M
99243 12% 9,452 7,995 $296K
99441 6.1% 4,121 2,620 $151K
76819 Fetal biophysical profile; without non-stress testing 5.3% 1,843 1,111 $131K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2.4% 4,108 3,448 $59K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 960 769 $41K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.6% 4,877 4,432 $41K
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 1.6% 373 228 $39K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1.0% 1,284 1,144 $26K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 132 114 $19K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 122 92 $9K
76827 <1% 126 119 $5K
9 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 92 $5K
99205 Prolong outpt/office vis <1% 20 $3K
76825 <1% 34 $3K
99232 Hospital visit by a doctor, follow-up day <1% 22 $2K
76820 <1% 53 $2K
99283 Emergency room visit (moderate) <1% 45 $1K
99242 <1% 32 $688.00
99252 <1% 13 $470.00
99238 Hospital discharge day management, 30 minutes or less <1% 26 $335.08

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 officialGUILLEN, IAN (ASSISTANT CHIEF FINANCIAL OFFICER)