Municipality of San Juan

Municipality of San Juan was paid $39K by Medicaid between Jan 2018 and Apr 2023, across 2 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 96% of everything it billed.

33Billing provider infoMUNICIPALITY OF SAN JUAN
SAN JUAN, PR 00928

33aNPI1881029379assigned 09/04/2013

33bProvider typeClinic/Center

28Total paid$39K

24GClaims1,732

24DCodes billed2

24AFirst – last monthJan 2018 – Apr 2023

Compared with peers

Next to other Clinic/Center providers in Puerto Rico

Rank by total paid#58 of 117

Median peer was paid$38K

This provider vs. median1.0×

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	468	$8K
2019	725	$14K
2020	64	$1K
2021	253	$8K
2022	187	$6K
2023	35	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	96%	1,627	684	$38K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.7%	105	45	$1K

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 officialAVILES, GILBERTO (SUB-DIRECTOR)