Clinic
Community Health Foundation of Puerto Rico, INC.
Community Health Foundation of Puerto Rico, INC. was paid $921K by Medicaid between Jan 2018 and Dec 2024, across 172 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 13% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH FOUNDATION OF PUERTO RICO, INC.
BAYAMON, PR 00961
BAYAMON, PR 00961
33aNPI1881016020assigned 01/07/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$921K
24GClaims914,056
24DCodes billed172
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Puerto Rico
Rank by total paid#9 of 22
Median peer was paid$463K
This provider vs. median2.0×
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 | 128,061 | $33K | |
| 2019 | 90,214 | $16K | |
| 2020 | 74,640 | $10K | |
| 2021 | 130,684 | $358K | |
| 2022 | 156,366 | $231K | |
| 2023 | 160,555 | $183K | |
| 2024incomplete | 173,536 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13% | 12,057 | 10,002 | $116K |
| 0001A | 12% | 3,489 | 3,404 | $114K | |
| 0002A | 12% | 3,043 | 3,002 | $112K | |
| 0004A | 9.9% | 2,381 | 2,336 | $91K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 7.3% | 5,836 | 4,825 | $68K |
| 0064A | 5.8% | 1,356 | 1,345 | $54K | |
| 0071A | 5.1% | 1,208 | 1,201 | $47K | |
| 0072A | 4.3% | 1,014 | 1,011 | $40K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 122,831 | 103,710 | $35K |
| 90670 | 3.6% | 1,692 | 1,491 | $33K | |
| 90649 | 2.4% | 2,112 | 1,782 | $22K | |
| 96160 | 2.2% | 5,691 | 5,268 | $21K |
160 more codes
| 90734 | 1.6% | 1,661 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 3,874 | $14K |
| 0124A | 1.5% | 414 | $14K | |
| 90677 | 1.2% | 334 | $11K | |
| 0003A | 1.1% | 331 | $10K | |
| 90716 | 1.1% | 1,438 | $10K | |
| 90654 | 1.0% | 1,875 | $9K | |
| 90621 | <1% | 937 | $9K | |
| 99441 | <1% | 35,657 | $8K | |
| 0134A | <1% | 162 | $6K | |
| 90707 | <1% | 1,325 | $6K | |
| 90715 | <1% | 1,006 | $6K | |
| 90697 | <1% | 615 | $5K | |
| 0031A | <1% | 111 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 7,668 | $3K |
| 91322 | <1% | 34 | $3K | |
| 90656 | <1% | 2,754 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,340 | $3K |
| 97802 | <1% | 14,047 | $2K | |
| 90633 | <1% | 1,072 | $2K | |
| 97803 | <1% | 317 | $2K | |
| 0013A | <1% | 55 | $2K | |
| 90680 | <1% | 664 | $2K | |
| 90648 | <1% | 776 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,560 | $2K |
| 90480 | <1% | 62 | $2K | |
| 91307 | <1% | 441 | $1K | |
| 90700 | <1% | 529 | $1K | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 14,019 | $1K |
| 90696 | <1% | 385 | $967.45 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 6,129 | $924.12 |
| 0012A | <1% | 28 | $920.00 | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 404 | $877.62 |
| 99442 | <1% | 5,923 | $864.21 | |
| 0011A | <1% | 19 | $760.00 | |
| 99443 | <1% | 852 | $734.13 | |
| 0034A | <1% | 17 | $600.00 | |
| 0073A | <1% | 12 | $480.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,255 | $377.07 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,532 | $373.74 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 44 | $255.60 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 3,998 | $254.18 |
| 90698 | <1% | 113 | $237.02 | |
| 90714 | <1% | 144 | $209.00 | |
| 90723 | <1% | 256 | $198.02 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 679 | $150.28 |
| 96127 | <1% | 26,162 | $113.02 | |
| 90461 | <1% | 16 | $106.15 | |
| 90473 | <1% | 25 | $81.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,206 | $72.09 |
| 92552 | <1% | 89 | $55.24 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,514 | $53.14 |
| 91312 | <1% | 376 | $40.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,210 | $23.85 |
| 90744 | <1% | 63 | $16.00 | |
| 99173 | <1% | 5,602 | $4.80 | |
| 90746 | <1% | 31 | $4.01 | |
| 90657 | <1% | 68 | $4.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,638 | $0.15 |
| 99385 | <1% | 215 | $0.03 | |
| 99381 | <1% | 36 | $0.02 | |
| 3017F | <1% | 6,447 | $0.01 | |
| 4010F | <1% | 6,625 | $0.01 | |
| 99386 | <1% | 119 | $0.01 | |
| 4013F | <1% | 6,369 | $0.01 | |
| 4124F | <1% | 2,391 | $0.01 | |
| 3008F | 0% | 44,841 | $0.00 | |
| 1036F | 0% | 26,781 | $0.00 | |
| 3079F | 0% | 20,269 | $0.00 | |
| 92551 | 0% | 2,046 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 669 | $0.00 |
| 1055F | 0% | 5,326 | $0.00 | |
| 1157F | 0% | 13,818 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 26,048 | $0.00 |
| 1030F | 0% | 17,078 | $0.00 | |
| 1125F | 0% | 15,238 | $0.00 | |
| 3074F | 0% | 51,812 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 21,911 | $0.00 |
| 1000F | 0% | 22,141 | $0.00 | |
| G0475 | Hiv antigen/antibody, combination assay, screening | 0% | 8,625 | $0.00 |
| 3075F | 0% | 12,273 | $0.00 | |
| 3061F | 0% | 1,547 | $0.00 | |
| 3044F | 0% | 1,681 | $0.00 | |
| G9806 | Patients who received cervical cytology or an hpv test | 0% | 444 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 23,336 | $0.00 |
| 1126F | 0% | 1,217 | $0.00 | |
| 3014F | 0% | 3,726 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 1,629 | $0.00 |
| 3048F | 0% | 3,606 | $0.00 | |
| 3049F | 0% | 1,479 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 436 | $0.00 |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 633 | $0.00 |
| 1170F | 0% | 2,638 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 452 | $0.00 |
| 90651 | 0% | 117 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 689 | $0.00 |
| 99368 | 0% | 542 | $0.00 | |
| 3080F | 0% | 337 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 12 | $0.00 |
| 1034F | 0% | 382 | $0.00 | |
| 4140F | 0% | 354 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 639 | $0.00 |
| G0103 | Prostate cancer screening; prostate specific antigen test (psa) | 0% | 126 | $0.00 |
| 1022F | 0% | 625 | $0.00 | |
| 4037F | 0% | 176 | $0.00 | |
| 4086F | 0% | 439 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 1,475 | $0.00 |
| 3066F | 0% | 31 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 170 | $0.00 |
| G9717 | Documentation stating the patient has had a diagnosis of bipolar disorder | 0% | 160 | $0.00 |
| 4000F | 0% | 280 | $0.00 | |
| 3072F | 0% | 42 | $0.00 | |
| 87428 | 0% | 112 | $0.00 | |
| 99384 | 0% | 35 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 28 | $0.00 |
| 93000 | 0% | 79 | $0.00 | |
| 1111F | 0% | 19 | $0.00 | |
| 3060F | 0% | 33 | $0.00 | |
| 91303 | 0% | 15 | $0.00 | |
| 1033F | 0% | 14,398 | $0.00 | |
| 1158F | 0% | 14,877 | $0.00 | |
| 3078F | 0% | 45,549 | $0.00 | |
| 1039F | 0% | 429 | $0.00 | |
| 4025F | 0% | 970 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 39,003 | $0.00 |
| 4035F | 0% | 19,021 | $0.00 | |
| G9820 | Documentation of a chlamydia screening test with proper follow-up | 0% | 762 | $0.00 |
| 3725F | 0% | 21,742 | $0.00 | |
| 0521F | 0% | 10,973 | $0.00 | |
| 1159F | 0% | 15,278 | $0.00 | |
| 3077F | 0% | 3,788 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 256 | $0.00 |
| 3050F | 0% | 916 | $0.00 | |
| 2028F | 0% | 2,079 | $0.00 | |
| 1090F | 0% | 313 | $0.00 | |
| 2022F | 0% | 240 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 2,870 | $0.00 |
| 1160F | 0% | 4,933 | $0.00 | |
| 3015F | 0% | 1,682 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 5,508 | $0.00 |
| 4004F | 0% | 9,310 | $0.00 | |
| 2014F | 0% | 924 | $0.00 | |
| 4158F | 0% | 246 | $0.00 | |
| 99201 | 0% | 189 | $0.00 | |
| 0518F | 0% | 35 | $0.00 | |
| 99348 | 0% | 18 | $0.00 | |
| 91300 | 0% | 196 | $0.00 | |
| 2027F | 0% | 16 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 32 | $0.00 |
| 3288F | 0% | 225 | $0.00 | |
| 99408 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 95 | $0.00 |
| 3045F | 0% | 12 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 40 | $0.00 |
| 90623 | 0% | 67 | $0.00 | |
| 91313 | 0% | 160 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 22 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 398 | $0.00 |
| 3046F | 0% | 59 | $0.00 | |
| G9904 | Documentation of medical reason(s) for not screening for tobacco use (e.g., limited life expectancy, other medical reason) | 0% | 16 | $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.
From NPPES
Who's on the registration
Authorized officialSANTIAGO, NILDA (CEO)