Clinic
Prymed Medical Care, INC
Prymed Medical Care, INC was paid $771K by Medicaid between Jan 2018 and Dec 2024, across 134 billing codes. Its largest line is D1110, Prophylaxis - adult — 15% of everything it billed.
33Billing provider infoPRYMED MEDICAL CARE, INC
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1841605417assigned 06/23/2014
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$771K
24GClaims138,798
24DCodes billed134
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Puerto Rico
Rank by total paid#8 of 53
Median peer was paid$44K
This provider vs. median18×
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 | 7,248 | $87K | |
| 2019 | 9,757 | $64K | |
| 2020 | 10,600 | $65K | |
| 2021 | 24,710 | $151K | |
| 2022 | 34,000 | $139K | |
| 2023 | 30,059 | $93K | |
| 2024incomplete | 22,424 | $173K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 15% | 3,824 | 3,087 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 23,561 | 21,153 | $107K |
| D1999 | 7.4% | 3,883 | 3,357 | $57K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.8% | 3,002 | 2,391 | $44K |
| D0330 | Panoramic radiographic image | 4.9% | 1,159 | 1,017 | $38K |
| D0272 | Bitewings - two radiographic images | 4.8% | 2,479 | 2,089 | $37K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.8% | 4,189 | 4,003 | $37K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 1,718 | 1,362 | $36K |
| 0004A | 4.0% | 820 | 803 | $31K | |
| 0002A | 3.7% | 923 | 837 | $29K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.6% | 2,221 | 2,097 | $28K |
| 0001A | 3.2% | 825 | 779 | $24K |
122 more codes
| D1208 | Topical application of fluoride, excluding varnish | 3.1% | 1,662 | $24K |
| 99050 | 2.9% | 725 | $22K | |
| 96160 | 2.5% | 837 | $19K | |
| D1120 | Dental cleaning, child | 2.2% | 870 | $17K |
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 1,850 | $11K |
| 0071A | 1.4% | 304 | $11K | |
| 0072A | 1.4% | 282 | $11K | |
| 0012A | 1.3% | 307 | $10K | |
| 90832 | Psychotherapy session, about 30 minutes | 1.2% | 3,112 | $9K |
| 0011A | <1% | 260 | $6K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 102 | $5K |
| 0064A | <1% | 114 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 474 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 892 | $3K |
| 0054A | <1% | 74 | $3K | |
| D2140 | <1% | 66 | $3K | |
| 97802 | <1% | 112 | $2K | |
| 90670 | <1% | 1,004 | $2K | |
| 90658 | <1% | 446 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 255 | $1K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 480 | $1K |
| 90716 | <1% | 654 | $1K | |
| D1351 | Sealant - per tooth | <1% | 79 | $1K |
| 90707 | <1% | 648 | $970.42 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 90 | $900.00 |
| 90633 | <1% | 387 | $869.15 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 50 | $845.07 |
| 97803 | <1% | 39 | $832.66 | |
| 90649 | <1% | 221 | $804.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 38 | $788.64 |
| 90474 | <1% | 97 | $760.49 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 17 | $745.62 |
| 99442 | <1% | 512 | $736.82 | |
| 90648 | <1% | 324 | $649.13 | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 127 | $640.85 |
| 90698 | <1% | 246 | $640.42 | |
| 0003A | <1% | 17 | $600.00 | |
| 80061 | Lipid panel | <1% | 126 | $459.13 |
| 90715 | <1% | 329 | $448.86 | |
| 87590 | <1% | 49 | $426.84 | |
| 80053 | Comprehensive metabolic panel | <1% | 145 | $417.78 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,025 | $376.90 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 61 | $367.36 |
| 99441 | <1% | 717 | $352.47 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 167 | $313.39 |
| 90734 | <1% | 365 | $305.56 | |
| 90723 | <1% | 108 | $232.16 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 174 | $205.83 |
| 90696 | <1% | 147 | $188.70 | |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $178.92 |
| 90680 | <1% | 186 | $169.61 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 34 | $161.30 |
| 90657 | <1% | 34 | $132.00 | |
| 84439 | <1% | 48 | $117.84 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 75 | $116.38 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 873 | $111.07 |
| 81001 | <1% | 136 | $110.72 | |
| 90744 | <1% | 20 | $80.00 | |
| 86592 | <1% | 55 | $74.56 | |
| 90686 | <1% | 1,232 | $71.42 | |
| 82274 | <1% | 19 | $69.36 | |
| 83001 | <1% | 14 | $60.75 | |
| 84153 | <1% | 19 | $60.15 | |
| 96127 | <1% | 598 | $53.52 | |
| 93000 | <1% | 271 | $51.00 | |
| 82607 | <1% | 13 | $49.29 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 25 | $46.10 |
| 92015 | Determination of refractive state | <1% | 17 | $41.40 |
| 0081A | <1% | 17 | $40.00 | |
| 99443 | <1% | 80 | $40.00 | |
| 87088 | <1% | 23 | $35.28 | |
| 82570 | <1% | 26 | $22.56 | |
| 86803 | <1% | 16 | $20.22 | |
| 82043 | <1% | 28 | $18.90 | |
| 90732 | <1% | 89 | $12.57 | |
| 90651 | <1% | 534 | $1.96 | |
| 90700 | <1% | 29 | $0.28 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,226 | $0.01 |
| 1160F | 0% | 8,949 | $0.00 | |
| 1159F | 0% | 9,549 | $0.00 | |
| 3078F | 0% | 5,870 | $0.00 | |
| 4035F | 0% | 4,066 | $0.00 | |
| 90671 | 0% | 60 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 399 | $0.00 |
| 3077F | 0% | 1,145 | $0.00 | |
| 0124A | 0% | 27 | $0.00 | |
| 3725F | 0% | 1,220 | $0.00 | |
| 91300 | 0% | 581 | $0.00 | |
| 91308 | 0% | 16 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 233 | $0.00 |
| 99284 | Emergency room visit (serious) | 0% | 33 | $0.00 |
| 99173 | 0% | 20 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 120 | $0.00 |
| 91312 | 0% | 27 | $0.00 | |
| 4013F | 0% | 44 | $0.00 | |
| 90785 | 0% | 14 | $0.00 | |
| 2028F | 0% | 12 | $0.00 | |
| 3075F | 0% | 939 | $0.00 | |
| 1125F | 0% | 1,808 | $0.00 | |
| 3017F | 0% | 98 | $0.00 | |
| 3008F | 0% | 9,948 | $0.00 | |
| 3074F | 0% | 5,679 | $0.00 | |
| 1126F | 0% | 7,048 | $0.00 | |
| 4010F | 0% | 190 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 281 | $0.00 |
| 1030F | 0% | 1,916 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 49 | $0.00 |
| 3079F | 0% | 1,722 | $0.00 | |
| 3048F | 0% | 70 | $0.00 | |
| 90677 | 0% | 130 | $0.00 | |
| 1170F | 0% | 40 | $0.00 | |
| 1034F | 0% | 64 | $0.00 | |
| 91305 | 0% | 84 | $0.00 | |
| 3049F | 0% | 17 | $0.00 | |
| 3080F | 0% | 88 | $0.00 | |
| 91306 | 0% | 48 | $0.00 | |
| 91307 | 0% | 291 | $0.00 | |
| 90619 | 0% | 100 | $0.00 | |
| 3044F | 0% | 69 | $0.00 | |
| 90697 | 0% | 12 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 165 | $0.00 |
| 1022F | 0% | 17 | $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 officialRIVERA, GLADYS (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Prymed Medical Care, INC | Ciales, PR | $2.12M |
| Prymed Medical Care, INC | Ciales, PR | $913K |
| Rayosx Prymed Medical Care, INC. | Ciales, PR | $380K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.