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
PONCE, PR 00716
33aNPI1841295557assigned 06/17/2005
33bProvider typePsychiatric Hospital Unit
28Total paid$2.48M
24GClaims42,411
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
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 | 4,940 | $181K | |
| 2019 | 9,682 | $299K | |
| 2020 | 5,105 | $250K | |
| 2021 | 5,772 | $374K | |
| 2022 | 4,491 | $308K | |
| 2023 | 4,891 | $403K | |
| 2024incomplete | 7,530 | $666K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)