Clinic
Instituto Gineco-Obstetrico Universitario, C.S.P.
Instituto Gineco-Obstetrico Universitario, C.S.P. was paid $105K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.
33Billing provider infoINSTITUTO GINECO-OBSTETRICO UNIVERSITARIO, C.S.P.
BAYAMON, PR 00956
BAYAMON, PR 00956
33aNPI1871894261assigned 11/16/2010
33bProvider typeCorporate Health Clinic/Center
28Total paid$105K
24GClaims3,259
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Corporate Health Clinic/Center providers in Puerto Rico
Rank by total paid#4 of 13
Median peer was paid$33K
This provider vs. median3.2×
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 | 812 | $12K | |
| 2019 | 608 | $10K | |
| 2020 | 321 | $9K | |
| 2021 | 465 | $23K | |
| 2022 | 274 | $12K | |
| 2023 | 363 | $18K | |
| 2024incomplete | 416 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 95% | 2,869 | 2,088 | $99K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 1.7% | 120 | 87 | $2K |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 1.4% | 77 | 55 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 27 | 27 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 90 | 40 | $440.00 |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 15 | 15 | $225.00 |
| 88141 | <1% | 13 | 12 | $110.99 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 48 | 44 | $102.41 |
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, JOSE (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Radiology Associates PSC | Santa Isabel, PR | $281K |
| Connecting the Puzzle | Trumbull, CT | $87K |
| Riva Internal Medicine Integrated Services PSC | Bayamon, PR | $2K |
| DR Jose a Rivera LLC | Ponte Vedra Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.