Clinic
PR Healthcare Management Group
PR Healthcare Management Group was paid $38K by Medicaid between Mar 2018 and Oct 2020, across 19 billing codes. Its largest line is 90472, Immunization administration, each additional vaccine (list separately) — 56% of everything it billed.
33Billing provider infoPR HEALTHCARE MANAGEMENT GROUP
NAGUABO, PR 00718
NAGUABO, PR 00718
33aNPI1861940181assigned 09/15/2016
33bProvider typeCommunity Health Clinic/Center
28Total paid$38K
24GClaims7,607
24DCodes billed19
24AFirst – last monthMar 2018 – Oct 2020
Compared with peers
Next to other Community Health Clinic/Center providers in Puerto Rico
Rank by total paid#9 of 20
Median peer was paid$15K
This provider vs. median2.5×
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 | 5,128 | $23K | |
| 2019 | 1,902 | $11K | |
| 2020 | 577 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90472 | Immunization administration, each additional vaccine (list separately) | 56% | 1,779 | 1,127 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 44% | 2,705 | 1,700 | $16K |
| 90656 | 0% | 267 | 150 | $0.00 | |
| 90723 | 0% | 39 | 26 | $0.00 | |
| 90686 | 0% | 61 | 54 | $0.00 | |
| 90716 | 0% | 97 | 55 | $0.00 | |
| 90744 | 0% | 24 | 12 | $0.00 | |
| 90698 | 0% | 58 | 29 | $0.00 | |
| 90688 | 0% | 50 | 25 | $0.00 | |
| 90696 | 0% | 30 | 15 | $0.00 | |
| 90715 | 0% | 214 | 105 | $0.00 | |
| 90734 | 0% | 432 | 232 | $0.00 |
7 more codes
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 officialNEGRON JUDICE, HARRY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| PR Healthcare Management Group | Naguabo, PR | $57K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.