Aco Del Norte PPN, LLC
Aco Del Norte PPN, LLC was paid $25K by Medicaid between Jan 2018 and Mar 2020, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoACO DEL NORTE PPN, LLC
ARECIBO, PR 00612
ARECIBO, PR 00612
33aNPI1891063616assigned 12/07/2011
33bProvider typeSpecialist
28Total paid$25K
24GClaims21,343
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Specialist providers in Puerto Rico
Rank by total paid#160 of 316
Median peer was paid$26K
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 | 9,462 | $6K | |
| 2019 | 11,278 | $18K | |
| 2020 | 603 | $200.00 |
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 | 54% | 8,453 | 7,870 | $14K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25% | 4,190 | 4,000 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.5% | 1,320 | 1,317 | $1K |
| 57454 | 5.2% | 125 | 125 | $1K | |
| 76830 | Ultrasound, transvaginal | 4.5% | 832 | 832 | $1K |
| 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 | 3.3% | 721 | 720 | $831.99 |
| 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 | 1.2% | 364 | 339 | $300.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 179 | 179 | $205.00 |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 220 | 91 | $20.00 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 13 | 13 | $19.50 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 59 | 59 | $15.00 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 121 | 116 | $14.63 |
10 more codes
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 118 | $10.20 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 0% | 101 | $0.00 |
| 99223 | Prolong inpt eval add15 m | 0% | 25 | $0.00 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 99 | $0.00 |
| 99245 | 0% | 14 | $0.00 | |
| 99221 | 0% | 96 | $0.00 | |
| 58558 | 0% | 13 | $0.00 | |
| 88150 | 0% | 3,899 | $0.00 | |
| 88142 | 0% | 368 | $0.00 | |
| 99243 | 0% | 13 | $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 officialTORRES, JULIO (DIRECTOR EJECUTIVO)
| Provider | Location | Paid |
|---|---|---|
| Board Certified Behavior Analysts Group, INC | Weston, FL | $218K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.