Physician
Pro-Health Clinical Services LLC
Pro-Health Clinical Services LLC was paid $1.64M by Medicaid between Jul 2018 and Dec 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoPRO-HEALTH CLINICAL SERVICES LLC
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1881003382assigned 08/08/2014
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$1.64M
24GClaims28,134
24DCodes billed21
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in Puerto Rico
Rank by total paid#1 of 52
Median peer was paid$23K
This provider vs. median71×
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 | 67 | $944.60 | |
| 2019 | 1,137 | $18K | |
| 2020 | 2,373 | $115K | |
| 2021 | 943 | $50K | |
| 2022 | 1,130 | $59K | |
| 2023 | 7,904 | $450K | |
| 2024incomplete | 14,580 | $949K |
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 | 31% | 7,329 | 5,139 | $508K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 7,643 | 1,530 | $363K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 2,120 | 1,433 | $212K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 752 | 534 | $114K |
| 97803 | 5.5% | 1,337 | 896 | $91K | |
| 97802 | 5.3% | 1,113 | 741 | $87K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.1% | 572 | 376 | $84K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.3% | 797 | 535 | $70K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 225 | 172 | $29K |
| 95251 | 1.6% | 830 | 518 | $26K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 3,034 | 2,089 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 59 | 44 | $10K |
9 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 officialCOMULADA, ANGEL (PRESIDENT/OWNER)