Clinic
Prime Family Clinic LLC
Prime Family Clinic LLC was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 72% of everything it billed.
33Billing provider infoPRIME FAMILY CLINIC LLC
VEGA BAJA, PR 00693
VEGA BAJA, PR 00693
33aNPI1871738351assigned 12/11/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$1.19M
24GClaims37,547
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Puerto Rico
Rank by total paid#2 of 65
Median peer was paid$9K
This provider vs. median139×
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 | 1,271 | $61K | |
| 2019 | 4,174 | $77K | |
| 2020 | 6,020 | $132K | |
| 2021 | 6,455 | $194K | |
| 2022 | 6,718 | $230K | |
| 2023 | 5,613 | $277K | |
| 2024incomplete | 7,296 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 72% | 27,124 | 5,744 | $851K |
| 99223 | Prolong inpt eval add15 m | 20% | 5,227 | 4,316 | $236K |
| 99238 | Hospital discharge day management, 30 minutes or less | 8.4% | 5,196 | 4,290 | $100K |
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 officialVAZQUEZ, JORGE (PRESIDENT)