Redes De Salud INC.
Redes De Salud INC. was paid $35K by Medicaid between Dec 2019 and Aug 2022, across 23 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoREDES DE SALUD INC.
CAGUAS, PR 00725
CAGUAS, PR 00725
33aNPI1881040822assigned 05/09/2016
33bProvider typeSpecialist
28Total paid$35K
24GClaims4,797
24DCodes billed23
24AFirst – last monthDec 2019 – Aug 2022
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#145 of 316
Median peer was paid$26K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 994 | $7K | |
| 2020 | 2,458 | $26K | |
| 2021 | 1,261 | $2K | |
| 2022 | 84 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 112 | 99 | $12K |
| 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% | 408 | 383 | $11K |
| 99441 | 16% | 231 | 194 | $6K | |
| 99442 | 7.4% | 83 | 67 | $3K | |
| 92015 | Determination of refractive state | 6.7% | 114 | 101 | $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 | 6.4% | 48 | 42 | $2K |
| 3008F | 0% | 500 | 458 | $0.00 | |
| 2000F | 0% | 488 | 447 | $0.00 | |
| 3044F | 0% | 13 | 13 | $0.00 | |
| 1036F | 0% | 170 | 155 | $0.00 | |
| 2010F | 0% | 448 | 417 | $0.00 | |
| 3074F | 0% | 182 | 173 | $0.00 |
11 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 officialORTIZ, ITZIANETTE (PROVIDER EXECUTIVE)
| Provider | Location | Paid |
|---|---|---|
| Redes De Salud INC. | Humacao, PR | $1.66M |
| Facilidades Medicas Asociadas Corp. | Humacao, PR | $92K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.