Behavioral
Vital-Care Medical Center L.L.C.
Vital-Care Medical Center L.L.C. was paid $1.28M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 99070, — 22% of everything it billed.
33Billing provider infoVITAL-CARE MEDICAL CENTER L.L.C.
AIBONITO, PR 00705
AIBONITO, PR 00705
33aNPI1881083848assigned 01/14/2015
33bProvider typeClinical Child & Adolescent Psychologist
28Total paid$1.28M
24GClaims15,378
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Child & Adolescent Psychologist providers in Puerto Rico
Rank by total paid#1 of 5
Median peer was paid$351K
This provider vs. median3.6×
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 | 2,569 | $195K | |
| 2019 | 2,743 | $226K | |
| 2020 | 2,705 | $221K | |
| 2021 | 2,522 | $234K | |
| 2022 | 2,437 | $249K | |
| 2023 | 2,281 | $140K | |
| 2024incomplete | 121 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99070 | 22% | 3,167 | 2,713 | $275K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 21% | 1,151 | 1,017 | $266K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 868 | 826 | $225K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 17% | 465 | 455 | $223K |
| 99442 | 15% | 3,600 | 3,227 | $196K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.1% | 1,424 | 1,369 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 1,732 | 1,697 | $40K |
| 99071 | 0% | 2,971 | 2,531 | $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 officialAFANADOR, DAVID (ADMINISTRATOR)