Integrate Community Health System
Integrate Community Health System was paid $525K by Medicaid between Jan 2018 and Aug 2024, across 13 billing codes. Its largest line is S9083, Global fee urgent care centers — 90% of everything it billed.
GUAYAMA, PR 00784
Next to other Emergency Care Clinic/Center providers in Puerto Rico
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,404 | $26K | |
| 2019 | 2,418 | $76K | |
| 2020 | 1,093 | $35K | |
| 2021 | 2,619 | $65K | |
| 2022 | 3,984 | $157K | |
| 2023 | 4,133 | $113K | |
| 2024incomplete | 2,290 | $54K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9083 | Global fee urgent care centers | 90% | 16,706 | 12,332 | $473K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 9.4% | 1,356 | 753 | $49K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | <1% | 306 | 248 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 184 | 180 | $9.24 |
| J0290 | Injection, ampicillin sodium, 500 mg | 0% | 52 | 49 | $0.00 |
| 99051 | 0% | 208 | 205 | $0.00 | |
| 3078F | 0% | 18 | 18 | $0.00 | |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 0% | 35 | 30 | $0.00 |
| 1170F | 0% | 15 | 15 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 19 | 17 | $0.00 |
| 96127 | 0% | 12 | 12 | $0.00 | |
| 3074F | 0% | 18 | 18 | $0.00 |
1 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Metro Pavia Healthcare Centers | Arecibo, PR | $1.17M |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $179K |
| Integrate Community Health System | Aguadilla, PR | $115K |
| Integrate Community Health System | San Juan, PR | $95K |
| Integrate Community Health System | Humacao, PR | $67K |
| Integrate Community Health System | Caguas, PR | $49K |
| Integrate Community Health System | Carolina, PR | $40K |
| Integrate Community Health System | Bayamon, PR | $25K |
| Integrate Community Health System, INC. | Aguadilla, PR | $18K |
| Metro Pavia Healthcare Centers | Ponce, PR | $11K |
| Integrate Community Health System | Bayamon, PR | $5K |
| Metro Pavia Healthcare Center | Arecibo, PR | $3K |
| Integrate Community Health System, INC | Bayamon, PR | $866.58 |
| Integrate Community Health System | Bayamon, PR | $365.40 |
| Integrate Community Health System | Guayama, PR | $209.20 |
| Integrate Community Health System | Hato Rey, PR | $99.00 |
| Metro Pavia Healthcare Centers INC | Carolina, PR | $54.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.